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Dustin Lively, DDS
NPI 1073527933 · on the registry since 2006
Practice
- Address
- 230 E Jefferson St
Mangum, OK 73554 - Phone
- (580) 782-2552
- Fax
- (580) 782-9266
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma