NPI 1043328594

Chad Douglas Spiva, DDS

Practitioner Dentist Moore, OK

Practice location

Address: 808 NE 19th St, Moore, OK 73160
Phone: (405) 799-5529
Fax: (405) 799-8223

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5497 (OK)

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Registry record

NPI: 1043328594
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2006
Record last updated: 6 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.