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

Grand Avenue Dental Studio

Organization Dental Clinic/Center · NPI 1356047922

Grand Avenue Dental Studio is a Dental Clinic/Center in Chickasha, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

720 W Grand Ave
Chickasha, OK 73018-5743
Phone: (405) 224-1311
Fax: (405) 222-3654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1356047922
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Hanselman — Office Manager · (405) 224-1311
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 4, 2023
Mailing address720 W Grand Ave, Chickasha, OK 73018-5743

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