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GRAND AVENUE DENTAL STUDIO
NPI 1356047922
Clinic/Center - Dental in Chickasha, OK

Active since February 06, 2023
720 W GRAND AVE, CHICKASHA, OK 73018(405) 224-1311(405) 222-3654 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grand Avenue Dental Studio NPPES

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

GRAND AVENUE DENTAL STUDIO (NPI 1356047922) is a healthcare organization registered as a dental in Chickasha, Oklahoma and active in the NPI registry since February 2023. The organization lists Tara Hanselman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356047922
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRAND AVENUE DENTAL STUDIO
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 OfficialTara HanselmanOffice Manager · (405) 224-1311
Enumeration DateFebruary 6, 2023
NPPES CertifiedFebruary 4, 2023
✔ NPI 1356047922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
720 W GRAND AVE, Chickasha, OK 73018
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Other Identifiers 1

Other14764768OK · Richard S. Dillon, Dds, Pc

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)
720 W GRAND AVE
CHICKASHA, OK 73018
Grady County (405) 224-1311
GRAND AVE DENTAL CENTER PLLC
Dentist (General Practice)
720 W GRAND AVE
CHICKASHA, OK 73018
Grady County (405) 224-1311
DR. STACY LYNN REVELS D.D.S
Dentist (General Practice)
720 W GRAND AVE
CHICKASHA, OK 73018
Grady County (405) 224-1311
DR. RICHARD STUART DILLON JR. DDS
Dentist
720 W GRAND AVE
CHICKASHA, OK 73018
Grady County (405) 224-1311
GRAND AVENUE DENTAL STUDIO
Dentist (General Practice)
720 W GRAND AVE
CHICKASHA, OK 73018
Grady County (405) 224-1311
GEORGE W. WILLIAMS, DDS, INC
Dentist (General Practice)
720 W GRAND AVE
CHICKASHA, OK 73018
Grady County (405) 224-1311

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 Grand Avenue Dental Studio's NPI number?

The NPI number for Grand Avenue Dental Studio is 1356047922. It was assigned to this organization in the NPPES registry on February 6, 2023.

Where is Grand Avenue Dental Studio located?

Grand Avenue Dental Studio is located at 720 W Grand Ave, Chickasha, OK 73018. The listed phone number is (405) 224-1311.

What is Grand Avenue Dental Studio's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Grand Avenue Dental Studio was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.