Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY E THEOBALD, DMD
Active Sole ProprietorGeneral Dentistry · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1467597104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2007 (19.200574761727 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3804 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2619 S ELM PLBROKEN ARROW, OK, 740127878Browse OK providers · Browse ZIP 74012
- Phone
- 9184550811
- Fax
- 9184514787
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BROKEN ARROW, OK
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA DEANNE CANNON | D.D.S. | 1063404176 |
| DR. WESLEY MARK HODGE | DMD | 1861464687 |
| DR. ROBERT BLAINE MONGRAIN JR. | DMD | 1598731655 |
| DR. EVAN DALE CLOTHIER | D.D.S. | 1043261753 |
| DR. STEVE E DEEM | DDS | 1477505253 |
| DR. MICHAEL ARIANA | DDS | 1851348221 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.