Organization
GARY L DENNINGTON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LYNN DENNINGTON DDS (PRESIDENT)
(580) 286-3051
Entity
Organization
Contact information
Practice address
1510 EAST LINCOLN ROAD, IDABEL, OK 74745
(580) 286-3051
(580) 286-6960
Mailing address
1510 EAST LINCOLN ROAD, IDABEL, OK 74745
(580) 286-3051
(580) 286-6960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4822
OK
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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