Provider Demographics
NPI:1912134719
Name:STEVEN E. ARMSTRONG, DDS, PLC
Entity Type:Organization
Organization Name:STEVEN E. ARMSTRONG, DDS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-336-1422
Mailing Address - Street 1:301 S WYANDOTTE AVE
Mailing Address - Street 2:P.O. BOX 578
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-4039
Mailing Address - Country:US
Mailing Address - Phone:918-336-1422
Mailing Address - Fax:918-336-8633
Practice Address - Street 1:301 S WYANDOTTE AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-4039
Practice Address - Country:US
Practice Address - Phone:918-336-1422
Practice Address - Fax:918-336-8633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK53641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty