MEDICARE: STEVEN C. DURR, D.D.S.

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
1	261QD0000X	Dental Clinic/Center	3932	OK

General Provider Information

NPI Number	:	1356515282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN C. DURR, D.D.S.

Provider Business Mailing Address
First Line	:	402 S OAKWOOD RD STE D
Second Line	:
City	:	ENID
State	:	OK
Zip	:	73703-4945
Country	:	US
Telephone Number	:	580-242-5862
Fax Number	:	580-242-0263

Provider Business Practice Location Address
First Line	:	402 S OAKWOOD RD STE D
Second Line	:
City	:	ENID
State	:	OK
Zip	:	73703-4945
Country	:	US
Telephone Number	:	580-242-5862
Fax Number	:	580-242-0263

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN CURTIS DURR
Credential	:	D.D.S.
Telephone Number	:	580-242-5862

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	04/22/2008

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