NPI 1235823162
Slade Taylor Shuck, DMD
Practice location
- Address
- 2036 S Miller Ln STE B, Catoosa, OK 74015-1539
- Phone
- (918) 266-6473
- Mailing address
- 8601 S Mingo Rd APT 7301, Tulsa, OK 74133-4648
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1235823162
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jun 2023
- Record last updated
- 5 Jun 2023
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.