| Grand Avenue Dental Studio | |
|
720 W Grand Ave Chickasha OK 73018-5743 | |
| (405) 224-1311 | |
| (405) 222-3654 |
| Full Name | Grand Avenue Dental Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 720 W Grand Ave, Chickasha, Oklahoma |
| Authorized Official Name and Position | Tara Hanselman (OFFICE MANAGER) |
| Authorized Official Contact | 4052241311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Avenue Dental Studio 720 W Grand Ave Chickasha OK 73018-5743 Ph: (405) 224-1311 | Grand Avenue Dental Studio 720 W Grand Ave Chickasha OK 73018-5743 Ph: (405) 224-1311 |
| NPI Number | 1356047922 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356047922 | NPI | - | NPPES |
| 14764768 | Other | OK | RICHARD S. DILLON, DDS, PC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Debra A. Eaton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 W Chickasha Ave, Suite 503, Chickasha, OK 73018 Phone: 405-224-6581 Fax: 405-224-3292 | |
Richard S Dillon Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 720 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-1311 | |
Bedlam Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 W Chickasha Ave, Chickasha, OK 73018 Phone: 405-224-1727 | |
Grand Ave Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-1311 Fax: 405-222-3654 | |
Optimum Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2209 S 4th St, Chickasha, OK 73018 Phone: 405-256-3267 | |
John G. Dyer, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 S 4th St., Chickasha, OK 73018 Phone: 405-224-9601 |