NPI 1053693903

Marty Ray Scantlen, DDS

Practitioner Dentist Ada, OK

Practice location

Address: 1921 Stonecipher Dr, Ada, OK 74820-3439
Phone: (580) 436-3980

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6326 (OK)

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Registry record

NPI: 1053693903
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2011
Record last updated: 16 Sep 2011

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.