NPI 1033299201

Steven Lee Grogan, DDS

Practitioner Dentist Broken Arrow, OK

Practice location

Address: 1139 E Kenosha St, Broken Arrow, OK 74012-2006
Phone: (918) 259-0239

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5226 (OK)

Other Dentist providers in Oklahoma →

Registry record

NPI: 1033299201
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 8 Jul 2007

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.