GRAND AVENUE DENTAL STUDIO
NPI 1952007528
Dentist - General Practice in Chickasha, OK

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

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 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 1952007528) is a healthcare organization registered as a general practice 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

NPI1952007528
Entity TypeOrganization
Primary Taxonomy1223G0001X
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
Organization SubpartNo
Authorized OfficialTara HanselmanOffice Manager · (405) 224-1311
Enumeration DateFebruary 6, 2023
NPPES CertifiedFebruary 4, 2023
NPI 1952007528 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.
720 W GRAND AVE, Chickasha, OK 73018

Other Identifiers 1

Other1689803314OK · Richard S. Dillon, Dds, Pc

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 6

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

Dentist (General Practice)
720 W GRAND AVE
CHICKASHA, OK 73018
Dentist (General Practice)
720 W GRAND AVE
CHICKASHA, OK 73018
Clinic/Center (Dental)
720 W GRAND AVE
CHICKASHA, OK 73018
Dentist (General Practice)
720 W GRAND AVE
CHICKASHA, OK 73018
Dentist
720 W GRAND AVE
CHICKASHA, OK 73018
Dentist (General Practice)
720 W GRAND AVE
CHICKASHA, OK 73018

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 1952007528. 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 Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.