# DENTAL LODGE OF NOBLE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326525072
- **Authorized official:** GARY NABORS DDS (PARTNER)
- **Authorized official phone:** (405) 872-9597

## Contact information

- **Practice address:** 1009 PARKWOODS DR, NOBLE, OK 73068-9391
- **Practice address phone:** (405) 872-9597
- **Practice address fax:** (405) 872-5271
- **Mailing address:** 1009 PARKWOODS DR, NOBLE, OK 73068-9391
- **Mailing address phone:** (405) 872-9597
- **Mailing address fax:** (405) 872-5271

## Taxonomy

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

## Other

- **Enumeration date:** 07/25/2018
- **Last updated:** 10/29/2020