Travis M Storts

NPI #1063891877 in Ardmore, Oklahoma

Provider Information

NPI Number: 1063891877
Entity Type: Organization
Organization Name: Travis M Storts
Primary Specialty: Dentist
Enumeration Date: May 26, 2015
Last Updated: Jun 29, 2015

Practice Location

Address: 1220 MERRICK DR
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1824
Phone: (580) 223-6720

Authorized Official

Name: DR. TRAVIS M STORTS, D.D.S.
Title: DENTIST
Phone: (580) 223-6720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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