Provider Demographics
NPI:1235333535
Name:NABORS, GARY D JR (DDS)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:D
Last Name:NABORS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:GABE
Other - Middle Name:D
Other - Last Name:NABORS
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:305-A N. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:NOBLE
Mailing Address - State:OK
Mailing Address - Zip Code:73068
Mailing Address - Country:US
Mailing Address - Phone:405-872-9597
Mailing Address - Fax:405-872-5371
Practice Address - Street 1:1009 PARKWOODS DR
Practice Address - Street 2:
Practice Address - City:NOBLE
Practice Address - State:OK
Practice Address - Zip Code:73068
Practice Address - Country:US
Practice Address - Phone:405-872-9597
Practice Address - Fax:405-872-5271
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK59551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice