Revels, Stacy Lynn
Revels, Stacy Lynn is an individual health care provider with primary practice located at 720 W Grand Ave , Chickasha OK 73018-5743. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Revels, Stacy Lynn can be contacted via phone (405) 224-1311.Contact Information
Primary practice address
720 W Grand Ave
Chickasha OK 73018-5743
Phone: (405) 224-1311
Fax: (405) 222-3654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5709 | Oklahoma |
Profile Details
| NPI number | 1639197189 |
|---|---|
| LBN Legal business name | Revels, Stacy Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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