Slade Taylor Shuck, DMD Valid NPI
Individual provider · General Practice Dentistry · Catoosa, OK
- NPI
- 1235823162
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 7764 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-06-05
- Last updated
- 2023-06-05
Practice location
2036 S Miller Ln Ste B
Catoosa, OK 74015-1539
(918) 266-6473