Slade Taylor Shuck, DMD

General Practice Dentistry · Catoosa, OK

Individual Active NPI

NPI number 1235823162

Practice location

2036 S Miller Ln Ste B
Catoosa, OK 74015-1539
Phone
(918) 266-6473

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NPI record

NPI
1235823162
Entity type
Individual (Type 1)
Enumeration date
June 5, 2023
Last updated
June 5, 2023
Certified
June 5, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7764 OK

Mailing address

8601 S Mingo Rd Apt 7301
Tulsa, OK 74133-4648
Phone
(620) 453-0222

About Dr. Shuck

Slade Taylor Shuck, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2036 S Miller Ln Ste B, Catoosa, OK 74015-1539. The NPI number 1235823162 was assigned on June 5, 2023 and the record was last updated on June 5, 2023.

Dr. Shuck lists a license in the registry: #7764 (OK) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Slade Taylor Shuck, DMD?

The NPI number is 1235823162.

What is the phone number of Dr. Shuck?

The phone number listed for the practice location is (918) 266-6473.

Where is Dr. Shuck located?

2036 S Miller Ln Ste B, Catoosa, OK 74015-1539.

What is the taxonomy code for Dr. Shuck?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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