Provider Demographics
NPI:1083006878
Name:STEVEN M. RANEY, DDS, MS, PC
Entity Type:Organization
Organization Name:STEVEN M. RANEY, DDS, MS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RANEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:405-737-2151
Mailing Address - Street 1:1908 S POST RD
Mailing Address - Street 2:#3
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-6600
Mailing Address - Country:US
Mailing Address - Phone:405-737-2151
Mailing Address - Fax:405-737-2175
Practice Address - Street 1:1908 S POST RD
Practice Address - Street 2:#3
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-6600
Practice Address - Country:US
Practice Address - Phone:405-737-2151
Practice Address - Fax:405-737-2175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1101223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty