| 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 | Dentist - General Practice |
| 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 2401 N Henny Rd Choctaw OK 73020-0265 Ph: (405) 390-2000 | Allied Dental Associates Of Choctaw Pllc 2401 N Henney Rd Choctaw OK 73020-8751 Ph: (405) 390-2000 |
| NPI Number | 1083871768 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083871768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5671 (Oklahoma) | Primary |
Choctaw Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14310 Dale Sterns Dr, Choctaw, OK 73020 Phone: 405-281-5800 |