Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH OMER LAVALLEY, D.D.S.
Deactivated Sole ProprietorDR. JOSEPH OMER LAVALLEY, D.D.S. is a Dentist healthcare provider located in HOLDENVILLE, Oklahoma. NPI 1861484776 is deactivated in the NPPES registry. Verify at CMS.
Dentist · HOLDENVILLE, OK
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1861484776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2005 (0.5972602739726 yrs)
- Last Updated
- Jul 9, 2007
- Deactivated
- Mar 23, 2006
- Licenses
-
5172 (OK)19688 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 E HWYHOLDENVILLE, OK, 74848Browse OK providers · Browse ZIP 74848
- Phone
- 4053792700
- Fax
- 4053792703
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in HOLDENVILLE, OK
| Name | Credential | NPI |
|---|---|---|
| DR. PHIL J TYREE | DDS | 1679654115 |
| DR. ROBERT KEITH BRISOLARA | D.D.S. | 1386872117 |
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.