MOORE DENTISTRY & BRACES NPI 1285100339

NPI Information

  • NPI: 1285100339
  • Provider Name: MOORE DENTISTRY & BRACES
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1530 SW 119TH ST UNIT 108
    OKLAHOMA CITY, OK
    ZIP 73170
  • Phone: (405) 735-5733

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NPI Details

MOORE DENTISTRY & BRACES is a dental clinic center in Oklahoma City, OK. MOORE DENTISTRY & BRACES NPI is 1285100339. The provider is registered as an organization entity type.

The provider's business location address is:

1530 SW 119TH ST UNIT 108
OKLAHOMA CITY, OK
ZIP 73170-938
Phone: (405) 735-5733

The provider's authorized official is Benjamin James Bowman .
The authorized official title is Dentist and has the following contact phone number (405) 326-8004.

The enumeration date for this NPI number is 10/16/2018 and was last updated on 10/11/2021.

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
1261QD0000XClinic/CenterDentalYes

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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