DR. JOHN P THEOBALD (D.D.S.) – General Practice Dentistry, NPI 1952358616
General Practice Dentistry
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NPPES metrics only — not quality of care.
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Provider Addresses for DR. JOHN P THEOBALD (D.D.S.)
10140, Southeast 55th Street, Oklahoma City, Oklahoma County, Oklahoma, 73150, United States
OKLAHOMA CITY, OK 731504531
Phone: (405) 733-4154
Type: Mailing
1200, South Air Depot Boulevard, Midwest City, Oklahoma County, Oklahoma, 73110, United States
I
MIDWEST CITY, OK 731104848
Phone: (405) 733-8136
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-02-09
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73150)
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