Paul Kenneth Garetson, D.D.S.4/29

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3934 Issued in OK

Practice address

5100 N Brookline Ave
Suite 425
Oklahoma City, OK 73112-3623

Phone

(405) 948-7055

Fax

(405) 949-0565

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235146895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE",
            "address_2": "SUITE 425",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123623",
            "telephone_number": "405-948-7055",
            "fax_number": "405-949-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE",
            "address_2": "SUITE 425",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123623",
            "telephone_number": "405-948-7055",
            "fax_number": "405-949-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARETSON",
        "first_name": "PAUL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.4/29",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam D Gardner, MD
• Catherine Williams Gardner, ARNP
• Holly Gardner
• Katherine Gardner, PHARMD
• Valerie Ann Gardner, B.S., M.H.R
• Nishit Garg
• Garland Porterfield, MD Inc.
• Velisha M. Garland
• Garlett Chiropractic Clinic PC
• Joseph Fredrick Garlett Jr., DC

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.