Dr Diana Blair Drvostep, DDS | |
19600 E Ross St, Tahlequah, OK 74464-0545 | |
(539) 234-1000 | |
(918) 453-1339 |
Full Name | Dr Diana Blair Drvostep |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 19600 E Ross St, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962738328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6101 (Oklahoma) | Primary |
Entity Name | Cherokee Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
---|---|
Dr Diana Blair Drvostep, DDS Po Box 1069, Tahlequah, OK 74465-1069 Ph: (562) 810-5752 | Dr Diana Blair Drvostep, DDS 19600 E Ross St, Tahlequah, OK 74464-0545 Ph: (539) 234-1000 |
Dr. William Vermont Stenberg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3628 | |
Thomas Craig Been, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 Fax: 918-453-1339 | |
Jane Mechelle Speed, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 Fax: 918-453-1339 | |
Dr. Sanah Ali, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1200 W 4th St, Tahlequah, OK 74464 Phone: 918-458-9100 | |
Dr. Thomason Michael Mcconnell, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1200 W 4th St, Suite A, Tahlequah, OK 74464 Phone: 918-458-9100 Fax: 918-458-9200 | |
Mark David Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1205 E Ross Bypass, Tahlequah, OK 74464 Phone: 918-456-2555 Fax: 918-456-2444 | |
Dr. Ann E. Riley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 407 Daisy Dr, Suite A, Tahlequah, OK 74464 Phone: 918-431-0202 Fax: 918-431-0203 |