Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Grand Ave Dental Center PLLC

Organization General Practice Dentistry · NPI 1336450675

Grand Ave Dental Center PLLC provides General Practice Dentistry in Chickasha, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

720 W Grand Ave
Chickasha, OK 73018-5743 Not confirmed with CMS for 16 years — call before visiting
Phone: (405) 224-1311
Fax: (405) 222-3654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3609 (OK)
General Practice Dentistry Taxonomy 1223G0001X · Licence 6126 (OK)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5709 (OK)

Record details

NPI number1336450675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Williams — Member · (405) 224-1311
NPI enumeratedJuly 1, 2010
Last updated in NPPESJuly 1, 2010
Mailing address720 W Grand Ave, Chickasha, OK 73018-5743

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