MEDICARE: DR. STEVE E DEEM 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
1	1223G0001X	General Practice Dentistry	4156	OK

General Provider Information

NPI Number	:	1477505253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVE E DEEM DDS

Provider Business Mailing Address
First Line	:	7407 E GALVESTON PLACE
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014
Country	:	US
Telephone Number	:	918-357-9404
Fax Number	:	918-357-9434

Provider Business Practice Location Address
First Line	:	2522 E KENOSHA ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014-6712
Country	:	US
Telephone Number	:	918-355-1391
Fax Number	:	918-355-4135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/21/2022

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