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NPI Code Detail

MEDICARE: DR. GAYLE A DENNEHY DDS

MEDICARE: DR. GAYLE A DENNEHY DDS
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
1122300000XDentist4680OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528053170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAYLE A DENNEHY DDS
Provider Business Mailing Address
First Line : 1334 N LANSING AVE
Second Line :
City : TULSA
State : OK
Zip : 74106-5907
Country : US
Telephone Number : 918-295-6145
Fax Number : 918-587-2173
Provider Business Practice Location Address
First Line : 1334 N LANSING AVE
Second Line :
City : TULSA
State : OK
Zip : 74106-5907
Country : US
Telephone Number : 918-295-6145
Fax Number : 918-587-2173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 02/10/2011

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Directions to “ DR. GAYLE A DENNEHY DDS” Practice Location

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