| Organization Name: | DENTAL DESIGNS OF STROUD, LLC |
| NPI Number: | 1366677593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN PATTEN (OWNER) |
| Mailing Address: | 401 W Main St Stroud |
| State: | OK US |
| Postal Code: | 740793613 |
| Phone Number: | 9189681606 |
| Fax Number: | 9189681635 |
| NPI Enumeration Date: | 05/18/2009 |
| NPI Last Update Date: | 05/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 5990 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |