Garrett D. Olive, DDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

6805 Issued in OK

Legal business name

GARRETT D. OLIVE, DDS, PLLC

Practice address

809 NW Highway 270
Woodward, OK 73801-1734

Phone

(580) 256-6054

Fax

(580) 256-6057

NPI assigned

May 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Myshal Leanne Olive

Title

Owner

Phone

(580) 630-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midtown Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garrett Don Olive, D.D.S.

  • General Practice Dentistry
  • Woodward, OK
  • NPI 1093163446
  NPD
• Wesley R. Lucas, D.D.S.

  • General Practice Dentistry
  • Woodward, OK
  • NPI 1962524512
  NPD (past)
• Mariah Newman, DMD

  • Dentist
  • Woodward, OK
  • NPI 1083563373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1124555701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 18TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012921",
            "telephone_number": "580-256-6054",
            "fax_number": "580-256-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 NW HIGHWAY 270",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738011734",
            "telephone_number": "580-256-6054",
            "fax_number": "580-256-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT D. OLIVE, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "OLIVE",
        "authorized_official_first_name": "MYSHAL",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-630-3333"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "815392332",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederick Eye Care PLLC
• Cooper Free, OD
• Sarah Freeman
• Stephanie Fullbright
• Hallee Fuqua
• Melody Kay Geis
• Linda Gerber
• Kelli Giblet
• Roberta Vey Gilbert, PH.D.
• Tina M Gilchrist

• Dentist in Woodward, OK
• Providers in Woodward, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.