Healthcare Provider Details

I. General information

NPI: 1336258904
Provider Name (Legal Business Name): JAMES FRANKLIN SATTERLEE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E CLEVELAND AVE
GUTHRIE OK
73044-3306
US

IV. Provider business mailing address

PO BOX 1076 309 E. CLEVELAND AVENUE
GUTHRIE OK
73044-1076
US

V. Phone/Fax

Practice location:
  • Phone: 405-285-5002
  • Fax:
Mailing address:
  • Phone: 405-282-3523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberOK3079
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: