Organization
PARLEY HUBLER JR DDS PC
Active
Other names
Diamond Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PARLEY MELVIN HUBLER JR. DDS (PRESIDENT)
(918) 775-3200
Entity
Organization
Contact information
Practice address
1506 W CHICKASAW AVE, SALLISAW, OK 74955-7200
(918) 775-3200
(918) 775-0080
Mailing address
1506 W CHICKASAW AVE, SALLISAW, OK 74955-7200
(918) 775-3200
(918) 775-0080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5170
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091070A
—
OK
Enumeration date
09/20/2005
Last updated
05/23/2012
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