MEDICARE: CLEVELAND DENTAL 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
1	261QD0000X	Dental Clinic/Center	4980	OK

General Provider Information

NPI Number	:	1952547671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND DENTAL INC.

Provider Business Mailing Address
First Line	:	103 S BROADWAY ST
Second Line	:
City	:	CLEVELAND
State	:	OK
Zip	:	74020-4614
Country	:	US
Telephone Number	:	918-358-0002
Fax Number	:	918-358-0007

Provider Business Practice Location Address
First Line	:	103 S BROADWAY ST
Second Line	:
City	:	CLEVELAND
State	:	OK
Zip	:	74020-4614
Country	:	US
Telephone Number	:	918-358-0002
Fax Number	:	918-358-0007

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN DOUGLAS OLIVER
Credential	:	DDS
Telephone Number	:	918-358-0002

Provider Enumeration Date	:	12/30/2008
Last Update Date	:	12/30/2008

Similar Medicare Providers

1942281688 — DR. PERRY WILLIAM EVANS JR. DO
Practice Location Address:

119 S BROADWAY ST
CLEVELAND, OK
74020-4614

Practice Phone: 918-358-2592
Practice Fax: 918-358-3133

1134216609 — DR. LISA MARIE KEDZUF-MCGINNIS O.D.
Practice Location Address:

107 S BROADWAY ST
CLEVELAND, OK
74020-4614

Practice Phone: 918-358-2245
Practice Fax:

1760652507 — DR. GREGORY A. FIELDING , P.C.
Practice Location Address:

107 S BROADWAY ST
CLEVELAND, OK
74020-4614

Practice Phone: 918-358-2245
Practice Fax: 918-358-5230

1124331475 — PERRY W EVANS JR DO PC
Practice Location Address:

119 S BROADWAY ST
CLEVELAND, OK
74020-4614

Practice Phone: 918-358-2592
Practice Fax: 918-358-3133

1548577273 — OSU CENTER FOR HEALTH SCIENCES
Practice Location Address:

119 S BROADWAY ST
CLEVELAND, OK
74020-4614

Practice Phone: 918-561-8306
Practice Fax: 918-561-5747

1659857308 — BIOS HOME HEALTH CARE LLC
Practice Location Address:

121 S BROADWAY ST
CLEVELAND, OK
74020-4614

Practice Phone: 918-358-2483
Practice Fax: 918-358-2641

Directions to “CLEVELAND DENTAL INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.