Dr Gayle Ann Kostyack, DDS | |
1201 Heritage Cir, Pawnee, OK 74058-3744 | |
(918) 762-6570 | |
(918) 762-3543 |
Full Name | Dr Gayle Ann Kostyack |
---|---|
Gender | Female |
Speciality | Dentist - Dental Public Health |
Location | 1201 Heritage Cir, Pawnee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548350796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | 30-021970 (Ohio) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Dr Gayle Ann Kostyack, DDS 1201 Heritage Cir, Pawnee, OK 74058-3744 Ph: (918) 762-6570 | Dr Gayle Ann Kostyack, DDS 1201 Heritage Cir, Pawnee, OK 74058-3744 Ph: (918) 762-6570 |
Dr. Gary Stark Henderson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 622 7th St, Pawnee, OK 74058 Phone: 918-762-2600 Fax: 918-762-2600 | |
Dr. Roberto Reyes, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1201 Heritage Cir, Pawnee, OK 74058 Phone: 918-762-6570 | |
Dr. Blake E Raper, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1201 Heritage Cir, Pawnee, OK 74058 Phone: 405-338-5775 | |
Dr. Henry John Kaehler Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 401 Forest St, Pawnee, OK 74058 Phone: 918-762-2533 Fax: 918-762-1033 | |
Dr. Aaron R. Means Sr., D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1201 Heritage Circle, Pawnee, OK 74058 Phone: 918-762-6561 Fax: 918-762-3456 | |
Yvonne Maurine Collins, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1201 Heritage Cir, Pawnee Indian Health Center, Pawnee, OK 74058 Phone: 918-762-6561 Fax: 918-762-3543 |