Healthcare Provider Details

I. General information

NPI: 1720121908
Provider Name (Legal Business Name): STEVEN M DEATON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6026 BATTIEST PICKENS RD
BROKEN BOW OK
74728-5033
US

IV. Provider business mailing address

6026 BATTIEST PICKENS RD
BROKEN BOW OK
74728-5033
US

V. Phone/Fax

Practice location:
  • Phone: 580-447-2910
  • Fax:
Mailing address:
  • Phone: 580-447-2910
  • Fax: 580-286-6699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5107
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: