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Organization
ADA DENTISTRY AND BRACES
Active
Organization
ADA DENTISTRY AND BRACES
Active
Other names
Ada Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT GLISSMEYER DMD (PROVIDER/OWNER)
(580) 322-0431
Entity
Organization
Contact information
Practice address
1529 HOPPE BLVD, ADA, OK 74820-2322
(580) 332-0431
Mailing address
1529 HOPPE BLVD, ADA, OK 74820-2322
(580) 322-0431
(580) 559-2470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/21/2020
Last updated
05/21/2026
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