OrganizationActive
Ada Dentistry and Braces
NPI 1265052062 · Dental Clinic/Center · Ada, OK
Provider details
- NPI number
- 1265052062
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Garrett Glissmeyer, Provider/Owner
Mailing address
1529 Hoppe Blvd
Ada, OK 74820-2322
Registry dates
- Enumerated
- 2020-04-21
- Last updated
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.