Provider Demographics
NPI:1497738728
Name:STARKEY, JOHNNY BURTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHNNY
Middle Name:BURTON
Last Name:STARKEY
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 S DARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8451
Mailing Address - Country:US
Mailing Address - Phone:918-494-4752
Mailing Address - Fax:
Practice Address - Street 1:4404 WEST HOUSTON
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012
Practice Address - Country:US
Practice Address - Phone:918-392-0575
Practice Address - Fax:918-392-0574
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM22071223P0221X
OK761223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry