Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Ave Dental Center PLLC

Organization General Practice Dentistry · NPI 1336450675

Grand Ave Dental Center PLLC is a General Practice Dentistry in Chickasha, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

720 W Grand Ave
Chickasha, OK 73018-5743
Phone: (405) 224-1311
Fax: (405) 222-3654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3609 (OK)
General Practice Dentistry Taxonomy 1223G0001X · Licence 6126 (OK)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5709 (OK)

Record details

NPI number1336450675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Williams — Member · (405) 224-1311
NPI enumeratedJuly 1, 2010
Last updated in NPPESJuly 1, 2010
Mailing address720 W Grand Ave, Chickasha, OK 73018-5743

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