Adolph Family Dentistry Inc
Organization Active NPI Dentist · Okmulgee, OK
NPI 1164535183 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164535183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 4862 (OK)
- Legal business name
- ADOLPH FAMILY DENTISTRY INC
- Practice address
- 112 N Grand
Okmulgee, OK 74447 - Phone
- (918) 756-0270
- Fax
- (918) 756-0283
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gary Phillip Adolph, DDS
- Title
- Doctor Dental Surgery
- Phone
- (918) 756-0270
Practitioners 1
-
Gary Phillip Adolph, D.D.S
National Provider Directory
Locations
112 N Grand Ave
Okmulgee, OK 74447
Phone (539) 667-0810
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 4862 | OK | Yes |
Addresses
Primary practice location
112 N Grand
Okmulgee, OK 74447
Mailing address
112 N Grand
Okmulgee, OK 74447
Phone (918) 756-0270
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.