Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 6634 | OK |
NPI | 1003220088 |
---|---|
Provider Name | Dr. David Scott Scheuerman |
First Address | Tulsa, OK 74105-4629 |
Second Address | Tulsa, OK 74105-4629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 24/07/2015 |