GARY E THEOBALD DMD
NPI 1467597104
Dentist - General Practice in Broken Arrow, OK

Q: What is Gary Theobald's NPI number?

The NPI number for Gary Theobald is 1467597104. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Gary Theobald's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Theobald was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 20, 2007

2619 S ELM PL, BROKEN ARROW, OK 74012(918) 455-0811(918) 451-4787 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary E Theobald Dmd NPPES

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

GARY E THEOBALD DMD (NPI 1467597104) is an individual general practice provider in Broken Arrow, Oklahoma, licensed in Oklahoma (3804) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1467597104

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameGARY E THEOBALDCredential: DMD

Location Address2619 S ELM PLBroken Arrow, OK 74012-7878

Mailing Address2619 S Elm PlBroken Arrow, OK 74012-7878 · (918) 455-0811 · Fax (918) 451-4787

Phone(918) 455-0811

Fax(918) 451-4787

Sole ProprietorYes

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467597104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 3804

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.

2619 S ELM PL, Broken Arrow, OK 74012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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.

DR. BRADLEY RIX WILSON DDS, MSD

Dentist (General Practice)

2619 S ELM PL
BROKEN ARROW, OK 74012

Tulsa County (918) 872-0218

DR. SALLY MARGARET BOCK X DDS

Dentist (General Practice)

2619 S ELM PL
BROKEN ARROW, OK 74012

Tulsa County (918) 872-0218

ADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA, P.C.

Dentist (General Practice)

2619 S ELM PL
BROKEN ARROW, OK 74012

Tulsa County (918) 872-0218

DR. NATHANIEL GRAY HEINSOHN D.D.S.

Dentist

2619 S ELM PL
BROKEN ARROW, OK 74012

Tulsa County (918) 872-0218

DR. RAY ANAND BEDDOE PHARMD.,D.M.D., M.S.

Dentist (Periodontics)

2619 S ELM PL, SUITE A
BROKEN ARROW, OK 74012

Tulsa County (918) 451-2717

REUSSER AND REUSSER LLC

Dentist (General Practice)

2619 S ELM PL
BROKEN ARROW, OK 74012

Tulsa County (918) 455-0811

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 Gary Theobald's NPI number?

The NPI number for Gary Theobald is 1467597104. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Gary Theobald located?

Gary Theobald practices at 2619 S Elm Pl, Broken Arrow, OK 74012. The listed phone number is (918) 455-0811.

What is Gary Theobald's specialty?

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

What insurance does Gary Theobald accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Gary Theobald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Theobald was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.