Search › Oklahoma › 1223P0221X
Mark Gilstrap, DMD
NPI 1710411715 · on the registry since 2017
Practice
- Address
- 404 S Elm St Ste 108
Jenks, OK 74037 - Phone
- (918) 417-2417
- Organisation at this address
- Mco Peds Pllc
Reneau Rehab IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 13123 E 16th Ave, Aurora, CO
- 8223 S Quebec St Ste O, Centennial, CO
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 1223P0221X
1223P0221X
390200000X - Licence states on file
- CO, MO, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-29
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