NPI 1043261753

Evan Dale Clothier, DDS

Practitioner General Practice Dentistry Broken Arrow, OK

Practice location

Address: 300 N Aspen Ave, Broken Arrow, OK 74012-2205
Phone: (918) 251-3333
Mailing address: 16534 E 49th Pl, Tulsa, OK 74134-7190

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5817 (OK)

Other Dentist providers in Oklahoma →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 7162 (KS)

Registry record

NPI: 1043261753
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 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.