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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRAND AVE DENTAL CENTER PLLC

Active Organization

GRAND AVE DENTAL CENTER PLLC is a General Dentistry organization located in CHICKASHA, Oklahoma. NPI 1336450675 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHICKASHA, OK

Registration Details

NPI Number
1336450675
Provider Type
Organization
NPI Issued
Jul 1, 2010 (16.089266828243 yrs)
Last Updated
Jul 1, 2010
Licenses
6126 (OK)
5709 (OK)
3609 (OK)

Practice Information

Address
720 W GRAND AVE
CHICKASHA, OK, 730185743
Browse OK providers · Browse ZIP 73018
Phone
4052241311
Fax
4052223654
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Organizations in CHICKASHA, OK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.