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FORT GIBSON FAMILY DENTISTRY PC
NPI 1114052032
Dentist - General Practice in Fort Gibson, OK

Active since February 22, 2007
801 S LEE ST, SUITE A, FORT GIBSON, OK 74434(918) 478-4433(918) 478-4066 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Gibson Family Dentistry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT GIBSON FAMILY DENTISTRY PC (NPI 1114052032) is a healthcare organization registered as a general practice in Fort Gibson, Oklahoma and active in the NPI registry since February 2007. The organization lists Michael John Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1114052032
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFORT GIBSON FAMILY DENTISTRY PC
Location Address801 S LEE ST, SUITE AFort Gibson, OK 74434-8710
Mailing Address801 S Lee St., Suite AFort Gibson, OK 74434 · (918) 478-4433 · Fax (918) 478-4066
Phone(918) 478-4433
Fax(918) 478-4066
Organization SubpartNo
Authorized OfficialMichael John NelsonOwner · (918) 478-4433
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114052032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
801 S LEE ST, Fort Gibson, OK 74434
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOHN NELSON D.D.S
Dentist (General Practice)
801 S LEE ST, SUITE A
FORT GIBSON, OK 74434
Muskogee County (918) 478-4433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Gibson Family Dentistry PC's NPI number?

The NPI number for Fort Gibson Family Dentistry PC is 1114052032. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Fort Gibson Family Dentistry PC located?

Fort Gibson Family Dentistry PC is located at 801 S Lee St Suite A, Fort Gibson, OK 74434. The listed phone number is (918) 478-4433.

What is Fort Gibson Family Dentistry PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fort Gibson Family Dentistry PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.