OrganizationActive
Fort Gibson Family Dentistry PC
NPI 1114052032 · General Practice Dentistry · Fort Gibson, OK
Fort Gibson Family Dentistry PC is a General Practice Dentistry organization in Fort Gibson, OK (NPI 1114052032).
Provider details
- NPI number
- 1114052032
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Nelson, Owner(918) 478-4433
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 S Lee St
Suite a
Fort Gibson, OK 74434-8710
Phone: (918) 478-4433
Fax: (918) 478-4066
Street-level locationGet directions
Mailing address
801 S Lee St.
Fort Gibson, OK 74434
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Fort Gibson Family Dentistry PC's NPI number?
- Fort Gibson Family Dentistry PC's National Provider Identifier (NPI) is 1114052032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Gibson Family Dentistry PC?
- Fort Gibson Family Dentistry PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Fort Gibson Family Dentistry PC located?
- Fort Gibson Family Dentistry PC's practice location on file with NPPES is 801 S Lee St, Fort Gibson, OK 74434-8710.
- What is Fort Gibson Family Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Fort Gibson Family Dentistry PC is (918) 478-4433.
- Who is the authorized official for Fort Gibson Family Dentistry PC?
- The authorized official listed on Fort Gibson Family Dentistry PC's NPPES record is Michael Nelson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Gibson Family Dentistry PC's NPI active?
- Yes — Fort Gibson Family Dentistry PC's NPI (1114052032) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.