Parley Hubler Jr DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5170 Issued in OK

Legal business name

PARLEY HUBLER JR DDS PC

Practice address

1506 W Chickasaw Ave
Sallisaw, OK 74955-7200

Phone

(918) 775-3200

Fax

(918) 775-0080

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Parley Melvin Hubler Jr., DDS

Title

President

Phone

(918) 775-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diamond Smiles Dental Doing business as

Locations

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1669467270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 W CHICKASAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749557200",
            "telephone_number": "918-775-3200",
            "fax_number": "918-775-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 W CHICKASAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749557200",
            "telephone_number": "918-775-3200",
            "fax_number": "918-775-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARLEY HUBLER JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "HUBLER",
        "authorized_official_first_name": "PARLEY",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-775-3200",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Sallisaw, OK
• Providers in Sallisaw, 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 May 23, 2012; 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.