Provider Demographics
NPI:1588781009
Name:DIBBLE PUBLIC SCHOOLS
Entity type:Organization
Organization Name:DIBBLE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J.
Authorized Official - Middle Name:CHAD
Authorized Official - Last Name:CLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:405-344-6375
Mailing Address - Street 1:100 MAIN
Mailing Address - Street 2:
Mailing Address - City:DIBBLE
Mailing Address - State:OK
Mailing Address - Zip Code:73031-0009
Mailing Address - Country:US
Mailing Address - Phone:405-344-6868
Mailing Address - Fax:
Practice Address - Street 1:100 MAIN
Practice Address - Street 2:
Practice Address - City:DIBBLE
Practice Address - State:OK
Practice Address - Zip Code:73031-0009
Practice Address - Country:US
Practice Address - Phone:405-344-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100681650AMedicaid