Provider Demographics
NPI:1164511275
Name:WHITE, STEVEN VANCE (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:VANCE
Last Name:WHITE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7912 E 31ST CTE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-1346
Mailing Address - Country:US
Mailing Address - Phone:918-663-5538
Mailing Address - Fax:918-627-9985
Practice Address - Street 1:7912 E 31ST CT
Practice Address - Street 2:SUITE 120
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-1346
Practice Address - Country:US
Practice Address - Phone:918-663-5538
Practice Address - Fax:918-627-9985
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKDS38751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice