THE DENTAL LODGE
NPI 1275773137
Dentist - General Practice in Noble, OK

Active since March 04, 2009
305-A MAIN STREET, NOBLE, OK 73068(405) 872-9597(405) 872-5271 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About THE DENTAL LODGE

This page provides the complete NPI Profile along with additional information for The Dental Lodge, a provider established in Noble, Oklahoma operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1275773137 assigned on March 2009. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Gary D Nabors Jr. (Dentist)

NPI
1275773137 Verify this NPI
Provider Name
THE DENTAL LODGE
Entity Type
Organization
Location Address
305-A MAIN STREET NOBLE, OK 73068
Location Phone
(405) 872-9597
Location Fax
(405) 872-5271
Mailing Address
P.O. BOX 69 NOBLE, OK 73068
Mailing Phone
(405) 972-9597
Mailing Fax
(405) 872-5271
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2009
Last Update Date
07-21-2022
Code Navigator

A dentist like The Dental Lodge is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License State
OK
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GARY D NABORS JR.

Authorized Official Title
DENTIST
Authorized Official Phone
(405) 872-9597

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275773137, enumerated as an "organization" on March 04, 2009.

The provider is located at 305-A MAIN STREET NOBLE, OK 73068 and the phone number is (405) 872-9597.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.