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BROKEN ARROW FAMILY DENTISTRY PLLC NPI 1538676846


NPI Information

NPI: 1538676846
Provider Name: BROKEN ARROW FAMILY DENTISTRY PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
423 W WASHINGTON ST
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 455-8899
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BROKEN ARROW FAMILY DENTISTRY PLLC is a general practice dentist in Broken Arrow, OK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BROKEN ARROW FAMILY DENTISTRY PLLC NPI is 1538676846. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

423 W WASHINGTON ST
BROKEN ARROW, OK
ZIP 74012-450
Phone: (918) 455-8899
Fax: (918) 250-6743

The provider's authorized official is Steven W Hogg .
The authorized official title is Member/partner and has the following contact phone number (918) 455-8899.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 1/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeOKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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