Stacy Revels, D.D.S

NPI 1639197189 · on the registry since 2006

Practice

Address: 720 W Grand Ave
Chickasha, OK 73018
Phone: (405) 224-1311
Fax: (405) 222-3654
Organisation at this address: Richard S Dillon Dds Pc
Grand Avenue Dental Studio
Grand Avenue Dental Studio
Grand Ave Dental Center Pllc
George W. Williams, Dds, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma