Stuart, Jeffrey Allan
Stuart, Jeffrey Allan is an individual health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stuart, Jeffrey Allan can be contacted via phone (918) 458-3100.Contact Information
Primary practice address
100 S Bliss Ave
Tahlequah OK 74464-2512
Phone: (918) 458-3100
Fax: (918) 458-3628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3531 | West Virginia |
Profile Details
| NPI number | 1528118007 |
|---|---|
| LBN Legal business name | Stuart, Jeffrey Allan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528118007 | NPPES |
| Oklahoma | MEDICAID | 9303531 |
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