Dr. Gayle Ann Kostyack
Dental Public Health
1201 Heritage Cir
Pawnee
, Oklahoma 74058-3744
Dr. Gayle Ann Kostyack
Dental Public Health
1201 Heritage Cir
Pawnee
, Oklahoma 74058-3744
(918) 762-3543
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Gayle Ann Kostyack
- 1201 Heritage Cir
- Pawnee, OK
- Zip : 74058-3744
- Fax : (918) 762-3543
- Phone : (918) 762-6570
Second Address
- Dr. Gayle Ann Kostyack
- 1201 Heritage Cir
- Pawnee, OK
- Zip : 74058-3744
- Fax : (918) 762-3543
- Phone : (918) 762-6570
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 30-021970 | OH |
National Provider Identifier
| NPI | 1548350796 |
|---|---|
| Provider Name | Dr. Gayle Ann Kostyack |
| First Address | Pawnee, OK 74058-3744 |
| Second Address | Pawnee, OK 74058-3744 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.