Provider Demographics
NPI:1588773261
Name:SIBEL, GARROLD DALE (DDS)
Entity type:Individual
Prefix:
First Name:GARROLD
Middle Name:DALE
Last Name:SIBEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7219 E RENO AVE
Mailing Address - Street 2:DALE SIBEL DDS
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-4446
Mailing Address - Country:US
Mailing Address - Phone:405-737-5614
Mailing Address - Fax:405-737-5614
Practice Address - Street 1:7219 E RENO AVE
Practice Address - Street 2:DALE SIBEL DDS
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-4446
Practice Address - Country:US
Practice Address - Phone:405-737-5614
Practice Address - Fax:405-737-5614
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3410122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist