MEDICARE: DR. DYLAN J SCALICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4703	OK

General Provider Information

NPI Number	:	1073463261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DYLAN J SCALICE

Provider Business Mailing Address
First Line	:	6604 STINCHCOMB DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-3818
Country	:	US
Telephone Number	:	405-816-4238
Fax Number	:

Provider Business Practice Location Address
First Line	:	3617 N MERIDIAN AVE STE 101
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2823
Country	:	US
Telephone Number	:	405-946-9946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “ DR. DYLAN J SCALICE ” Practice Location

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