| Allied Dental Associates Of Choctaw Pllc | |
|
2401 N Henney Rd Choctaw OK 73020-8751 | |
| (405) 390-2000 | |
| (405) 390-2018 |
| Full Name | Allied Dental Associates Of Choctaw Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2401 N Henney Rd, Choctaw, Oklahoma |
| Authorized Official Name and Position | Tracy Ann Gasbarra (DENTIST/OWNER) |
| Authorized Official Contact | 4053902000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Dental Associates Of Choctaw Pllc P.o. Box 265 Choctaw OK 73020 Ph: (405) 390-2000 | Allied Dental Associates Of Choctaw Pllc 2401 N Henney Rd Choctaw OK 73020-8751 Ph: (405) 390-2000 |
| NPI Number | 1932793106 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 06/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932793106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Allied Dental Associates Of Choctaw Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 N Henney Rd, Choctaw, OK 73020 Phone: 405-390-2000 Fax: 405-390-2018 | |
Choctaw Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14310 Dale Sterns Dr, Choctaw, OK 73020 Phone: 405-281-5800 |