Grand Ave Dental Center Pllc

LBN: Grand Ave Dental Center Pllc
Grand Ave Dental Center Pllc is an health care organization with primary practice located at 720 W Grand Ave , Chickasha OK 73018-5743. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Grand Ave Dental Center Pllc can be contacted via phone (405) 224-1311, or through Williams, George W. via phone (405) 224-1311.

Contact Information

Primary practice address
720 W Grand Ave Chickasha OK 73018-5743
Phone: (405) 224-1311
Fax: (405) 222-3654
Website:
Map and Directions
Authorized official contact:
Name: Williams, George W. Doctor of Dental Surgery (DDS)
Phone: (405) 224-1311

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3609 Oklahoma
Dental Providers / General Practice 1223G0001X 6126 Oklahoma
Dental Providers / General Practice 1223G0001X 5709 Oklahoma

Profile Details

NPI number 1336450675
LBN Legal business name Grand Ave Dental Center Pllc
DBA Doing business as
Authorized official Williams, George W. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2010
Last updated Jul 1st, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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