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Gary E Theobald, DMD
General Practice Dentistry in Broken Arrow, Oklahoma
NPI 1467597104

Gary E Theobald is a General Practice Dentistry based in Broken Arrow, OK and is specialized in General Practice. Gary E Theobald practices in Broken Arrow, OK and has the professional credentials of DMD. The NPI Number for Gary E Theobald is 1467597104 and holds a License No. 3804 (Oklahoma).

The current practice location address for Gary E Theobald is 2619 S Elm Pl, Broken Arrow, OK and can be reached out via phone at 918-455-0811 and via fax at 918-451-4787.

Location: 2619 S Elm Pl, Broken Arrow, OK, 74012-7878
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467597104
Provider Name
Gary E Theobald
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2619 S Elm Pl, Broken Arrow, OK, 74012-7878
Phone Number
918-455-0811
Fax Number
918-451-4787
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2619 S Elm Pl
City
Broken Arrow
State
Oklahoma
Zip
74012-7878
Phone Number
918-455-0811
Fax Number
918-451-4787
person
Provider Business Mailing Address Details
Address
2619 S Elm Pl
City
Broken Arrow
State
Oklahoma
Zip
74012-7878
Phone Number
918-455-0811
Fax Number
918-451-4787
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3804 (Oklahoma)
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.
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