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Contact Information

GAYLE A KOSTYACK, DDS
1201 HERITAGE CIR
PAWNEE, OK74058-3744
 Phone: 918-762-6570
 Fax: 918-762-3543
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for GAYLE A KOSTYACK · (Female)

NPI # 1548350796
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 30-021970
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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