# GARRETT D. OLIVE, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midtown Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124555701
- **Authorized official:** MYSHAL LEANNE OLIVE (OWNER)
- **Authorized official phone:** (580) 630-3333

## Contact information

- **Practice address:** 809 NW HIGHWAY 270, WOODWARD, OK 73801-1734
- **Practice address phone:** (580) 256-6054
- **Practice address fax:** (580) 256-6057
- **Mailing address:** 1120 18TH ST, WOODWARD, OK 73801-2921
- **Mailing address phone:** (580) 256-6054
- **Mailing address fax:** (580) 256-6057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6805 | OK | Yes |

## Other

- **Enumeration date:** 05/15/2017
- **Last updated:** 04/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 815392332 | — | OK |