Provider Demographics
NPI:1851884845
Name:GREGG FAMILY DENTISTRY, PLLC
Entity Type:Organization
Organization Name:GREGG FAMILY DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CHANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:580-252-5480
Mailing Address - Street 1:1022 W. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533
Mailing Address - Country:US
Mailing Address - Phone:580-252-5480
Mailing Address - Fax:580-252-5485
Practice Address - Street 1:1022 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4536
Practice Address - Country:US
Practice Address - Phone:580-252-5480
Practice Address - Fax:580-252-5485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental