| Gary E Theobald, DMD | |
|
2619 S Elm Pl, Broken Arrow, OK 74012-7878 | |
| (918) 455-0811 | |
| (918) 451-4787 |
| Full Name | Gary E Theobald |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2619 S Elm Pl, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467597104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3804 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary E Theobald, DMD 2619 S Elm Pl, Broken Arrow, OK 74012-7878 Ph: (918) 455-0811 | Gary E Theobald, DMD 2619 S Elm Pl, Broken Arrow, OK 74012-7878 Ph: (918) 455-0811 |
Dr. Cody Hayes Mumma, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4716 W Urbana St, Broken Arrow, OK 74012 Phone: 918-449-5800 Fax: 918-455-8958 | |
Steven Lee Grogan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1139 E Kenosha St, Broken Arrow, OK 74012 Phone: 918-259-0239 | |
Dr. Evan Dale Clothier, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 N Aspen Ave, Broken Arrow, OK 74012 Phone: 918-251-3333 | |
Dr. Patricia Deanne Cannon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 411 W New Orleans St, Broken Arrow, OK 74011 Phone: 918-455-4242 Fax: 918-455-4244 | |
Dr. Angela J Rhodes, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2311 N 9th St Ste 102, Broken Arrow, OK 74012 Phone: 918-994-2100 Fax: 918-994-2101 | |
Paniz Sheikh Hassani, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2319 N 9th St, Broken Arrow, OK 74012 Phone: 918-957-7777 | |
Dr. Michael A. Kincaid, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1402 S Aspen Ave, Broken Arrow, OK 74012 Phone: 918-258-8515 Fax: 918-251-5463 |