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ALLIED DENTAL ASSOCIATES OF CHOCTAW PLLC NPI 1083871768


NPI Information

NPI: 1083871768
Provider Name: ALLIED DENTAL ASSOCIATES OF CHOCTAW PLLC

Former Legal Business Name: TRACY GASBARRA DDS PLLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2401 N HENNEY RD
CHOCTAW, OK
ZIP 73020
Phone: (405) 390-2000
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ALLIED DENTAL ASSOCIATES OF CHOCTAW PLLC is a general practice dentist in Choctaw, OK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ALLIED DENTAL ASSOCIATES OF CHOCTAW PLLC NPI is 1083871768. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Tracy Gasbarra Dds Pllc.

The provider's business location address is:

2401 N HENNEY RD
CHOCTAW, OK
ZIP 73020-751
Phone: (405) 390-2000
Fax: (405) 390-2018

The provider's authorized official is Tracy Ann Gasbarra .
The authorized official title is Dentist/owner and has the following contact phone number (405) 390-2000.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice5671OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.