| Organization Name: | STEPHEN JAMES GERKIN DDS |
| NPI Number: | 1003081878 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH M BROWN (FINANCIAL SECRETARY) |
| Mailing Address: | 4433 S Harvard Ave Tulsa |
| State: | OK US |
| Postal Code: | 741352604 |
| Phone Number: | 9187428775 |
| Fax Number: | 9187427281 |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 04/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 3738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |