Organization
GARRETT D. OLIVE, DDS, PLLC
Active
Other names
Midtown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MYSHAL LEANNE OLIVE (OWNER)
(580) 630-3333
Entity
Organization
Contact information
Practice address
809 NW HIGHWAY 270, WOODWARD, OK 73801-1734
(580) 256-6054
(580) 256-6057
Mailing address
1120 18TH ST, WOODWARD, OK 73801-2921
(580) 256-6054
(580) 256-6057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6805
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
815392332
—
OK
Enumeration date
05/15/2017
Last updated
04/14/2022
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