Organization Active NPI

The Dental Lodge

  • General Practice Dentistry
  • Noble, OK
National Provider Identifier
1275773137
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE DENTAL LODGE
Practice address
305-A Main Street
Noble, OK 73068-0069
Phone
(405) 872-9597
Fax
(405) 872-5271
NPI assigned
Mar 4, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gary D Nabors Jr.NPI 1235333535
Title
Dentist
Phone
(405) 872-9597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X OK Primary

Addresses

Primary practice location

305-A Main Street
Noble, OK 73068-0069

Mailing address

P.O. Box 69
Noble, OK 73068-0069
Phone (405) 972-9597

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275773137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 69",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730680069",
            "telephone_number": "405-972-9597",
            "fax_number": "405-872-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305-A MAIN STREET",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730680069",
            "telephone_number": "405-872-9597",
            "fax_number": "405-872-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NABORS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-872-9597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noble, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.