SPRING DENTAL-BROKEN ARROW NPI 1164897666

NPI Information

  • NPI: 1164897666
  • Provider Name: SPRING DENTAL-BROKEN ARROW
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 6416 S ELM PL
    BROKEN ARROW, OK
    ZIP 74011
  • Phone: (918) 895-6568

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NPI Details

SPRING DENTAL-BROKEN ARROW 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. SPRING DENTAL-BROKEN ARROW NPI is 1164897666. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6416 S ELM PL
BROKEN ARROW, OK
ZIP 74011-819
Phone: (918) 895-6568

The provider's authorized official is Renee Mcbay .
The authorized official title is Credentialing Speicalist and has the following contact phone number (918) 998-0996.

The enumeration date for this NPI number is 12/9/2015 and was last updated on 6/14/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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: 11/21/2025

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