Individual provider · Type 1 NPI
Dustin Curt Lively, DDS
General Practice Dentistry · Mangum, OK
NPI number
1073527933
Active
Practice location
230 E Jefferson St
Mangum, OK 73554-4202
Fax (580) 782-9266
Mailing address
PO Box 126
Mangum, OK 73554-0126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5327 (OK) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Mangum
About NPI 1073527933
Dustin Curt Lively, DDS's National Provider Identifier is 1073527933, issued on Jul 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mangum, OK. The record was last updated on May 14, 2019.