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NPI Code Detail

MEDICARE: PAUL B STRAHAN DDS INC

MEDICARE: PAUL B STRAHAN DDS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist3783OK

General Provider Information

NPI Number : 1114912128
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL B STRAHAN DDS INC
Provider Business Mailing Address
First Line : 15 W 6TH ST
Second Line : STE 1615
City : TULSA
State : OK
Zip : 74119-5415
Country : US
Telephone Number : 918-587-1303
Fax Number : 918-587-6360
Provider Business Practice Location Address
First Line : 15 W 6TH ST
Second Line : STE 1615
City : TULSA
State : OK
Zip : 74119-5415
Country : US
Telephone Number : 918-587-1303
Fax Number : 918-587-6360
Authorized Official
Title or Position : OWNER
Name : DR. BRAD BOYD STRAHAN
Credential : DDS
Telephone Number : 918-587-1303
Provider Enumeration Date : 09/15/2005
Last Update Date : 08/22/2020

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Directions to “PAUL B STRAHAN DDS INC ” Practice Location

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