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TALDG PLLC NPI 1912668070


NPI Information

NPI: 1912668070
Provider Name: TALDG PLLC

Doing Business As: FT. GIBSON FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
801 S LEE ST STE A
FORT GIBSON, OK
ZIP 74434
Phone: (918) 478-4433
Get Directions

TALDG PLLC is a general practice dentist in Fort Gibson, OK. The provider is 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. TALDG PLLC NPI is 1912668070. The provider is registered as an organization entity type.
The provider Is Doing Business As Ft. Gibson Family Dentistry.

The provider's business location address is:

801 S LEE ST STE A
FORT GIBSON, OK
ZIP 74434-710
Phone: (918) 478-4433

The provider's authorized official is Brandi Williams .
The authorized official title is Vp Of Growth and has the following contact phone number (405) 250-2255.

The enumeration date for this NPI number is 12/31/2021 and was last updated on 1/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalNo
21223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.