NPI 1003131459

Brant Rouse DDS Plc

Organisation Dentist Tahlequah, OK

Practice location

Address: 559 Meadow Creek Drive, Tahlequah, OK 74464-1088
Phone: (918) 456-0977
Fax: (855) 856-5958

Authorised official

Name: Brant Philip Rouse
Title: President
Phone: (918) 456-0977

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

Other Dentist providers in Oklahoma →

Registry record

NPI: 1003131459
Entity type: Organization
NPI issued: 29 Mar 2010
Record last updated: 7 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.