| Stephen O. Glenn, Dds | |
|
5319 S Lewis Ave Suite 222 Tulsa OK 74105-6500 | |
| (918) 748-8484 | |
| (918) 744-0761 |
| Full Name | Stephen O. Glenn, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5319 S Lewis Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Stephen O Glenn (OWNER/DENTIST) |
| Authorized Official Contact | 9187488484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen O. Glenn, Dds 5319 S Lewis Ave Suite 222 Tulsa OK 74105-6500 Ph: (918) 748-8484 | Stephen O. Glenn, Dds 5319 S Lewis Ave Suite 222 Tulsa OK 74105-6500 Ph: (918) 748-8484 |
| NPI Number | 1962676817 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962676817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3665 (Oklahoma) | Primary |
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