Individual
DR. CHAD DOUGLAS SPIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
808 NE 19TH ST, MOORE, OK 73160
(405) 799-5529
(405) 799-8223
Mailing address
808 NE 19TH ST, MOORE, OK 73160
(405) 799-5529
(405) 799-8223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5497
OK
Other
Enumeration date
08/25/2006
Last updated
11/06/2025
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