Robert Louis Albright, D.D.S.

Individual provider Active NPI General Practice Dentistry · Granite, OK

NPI 1184848830 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1184848830
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
3790 (OK)
Practice address
1701 East First Street
Granite, OK 73547
Phone
(580) 480-3715
Fax
(580) 480-3994
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3790OKMDObstetrics & Gynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3790 OK Yes

Addresses

Primary practice location

1701 East First Street
Granite, OK 73547

Mailing address

PO Box 57624
Oklahoma City, OK 73157-7624
Phone (405) 412-9741

Other providers in Granite, OK

All providers in Granite, OK · General Practice Dentistry in Oklahoma

Sources for this page

Verify at the official NPI Registry.