Revels, Stacy Lynn

Revels, Stacy Lynn is an individual health care provider with primary practice located at 720 W Grand Ave , Chickasha OK 73018-5743. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Revels, Stacy Lynn can be contacted via phone (405) 224-1311.

Contact Information

Primary practice address
720 W Grand Ave Chickasha OK 73018-5743
Phone: (405) 224-1311
Fax: (405) 222-3654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5709 Oklahoma

Profile Details

NPI number 1639197189
LBN Legal business name Revels, Stacy Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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