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NPI Code Detail

MEDICARE: DR. DANIEL WILLIAM STIPE DDS

MEDICARE: DR. DANIEL WILLIAM STIPE DDS
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
1122300000XDentist60870KS
2122300000XDentist6327OK
31223G0001XGeneral Practice Dentistry33931TX

General Provider Information

NPI Number : 1346520020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL WILLIAM STIPE DDS
Provider Business Mailing Address
First Line : 9025 N 121ST EAST AVE STE 300
Second Line :
City : OWASSO
State : OK
Zip : 74055-5399
Country : US
Telephone Number : 918-304-8040
Fax Number :
Provider Business Practice Location Address
First Line : 2838 N OLIVER ST
Second Line :
City : WICHITA
State : KS
Zip : 67220-2983
Country : US
Telephone Number : 918-949-4450
Fax Number : 918-794-7728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2011
Last Update Date : 01/09/2020

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Directions to “ DR. DANIEL WILLIAM STIPE DDS” Practice Location

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