Gary E Theobald, DMD
Gary E Theobald, DMD is a General Practice Dentistry in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2007
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
2619 S Elm PlBroken Arrow, OK 74012-7878
Phone: (918) 455-0811
Fax: (918) 451-4787
Show map & directions
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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 3804 (OK) |
|---|
Record details
| NPI number | 1467597104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2619 S Elm Pl, Broken Arrow, OK 74012-7878 |
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