Provider Demographics
NPI:1275773715
Name:STEFFEN AND FARROW ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:STEFFEN AND FARROW ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARROW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-341-2587
Mailing Address - Street 1:1601 S BOULEVARD ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-5143
Mailing Address - Country:US
Mailing Address - Phone:405-341-2587
Mailing Address - Fax:405-340-0510
Practice Address - Street 1:1601 S BOULEVARD ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5143
Practice Address - Country:US
Practice Address - Phone:405-341-2587
Practice Address - Fax:405-340-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental