Gary Gene Lott, D.D.S.
Individual provider Active NPI General Practice Dentistry · Alva, OK
NPI 1053429795 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053429795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3558 (OK)
- Practice address
- 515 College Ave
Alva, OK 73717-2202 - Phone
- (580) 327-3212
- Fax
- (580) 327-3009
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 1, 2016 through Feb 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3558 | OK | Yes |
Addresses
Primary practice location
515 College Ave
Alva, OK 73717-2202
Mailing address
515 College Ave
Alva, OK 73717-2202
Phone (580) 327-3212
Other providers in Alva, OK
- Larry G. Smith, D.D.S., Inc.
- Terri Leeper
- Erin Lehr
- Linda K McMurphy MD PLLC
- Jeremy D Logsdon
- Crystal Lovinggood
- Steve M Madrid
- Misty J Magnison
- Amber Lynn Maier
- Erin Nicole Martens
All providers in Alva, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.