Healthcare Provider Details

I. General information

NPI: 1073432522
Provider Name (Legal Business Name): PEYTON COLBY BAILEY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1829 N HIGHWAY 81
DUNCAN OK
73533
US

IV. Provider business mailing address

172789 TRAIL SIDE DR
DUNCAN OK
73533-5262
US

V. Phone/Fax

Practice location:
  • Phone: 580-252-7502
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8166
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: