GRAND AVE DENTAL CENTER PLLC
NPI 1336450675
Dentist - General Practice in Chickasha, OK

Q: What is Grand Ave Dental Center PLLC's NPI number?

The NPI number for Grand Ave Dental Center PLLC is 1336450675. It was assigned to this organization in the NPPES registry on July 1, 2010.

Q: What is Grand Ave Dental Center PLLC's specialty?

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

Active since July 01, 2010

720 W GRAND AVE, CHICKASHA, OK 73018(405) 224-1311(405) 222-3654 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grand Ave Dental Center Pllc NPPES

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

GRAND AVE DENTAL CENTER PLLC (NPI 1336450675) is a healthcare organization registered as a general practice in Chickasha, Oklahoma and active in the NPI registry since July 2010. The organization lists George W. Williams, Member, as its authorized official.

NPPES Registry Identity

NPI1336450675

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameGRAND AVE DENTAL CENTER PLLC

Location Address720 W GRAND AVEChickasha, OK 73018-5743

Mailing Address720 W Grand AveChickasha, OK 73018-5743 · (405) 224-1311 · Fax (405) 222-3654

Phone(405) 224-1311

Fax(405) 222-3654

Organization SubpartNo

Authorized OfficialGeorge W. WilliamsMember · (405) 224-1311

Enumeration DateJuly 1, 2010

✔ NPI 1336450675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in OK · 3609✔ Licensed in OK · 6126✔ Licensed in OK · 5709

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.

720 W GRAND AVE, Chickasha, OK 73018

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

RICHARD S DILLON DDS PC

Dentist (General Practice)