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EDMOND DENTISTRY AND BRACES NPI 1487293270


NPI Information

NPI: 1487293270
Provider Name: EDMOND DENTISTRY AND BRACES

Doing Business As: SMILEWORX DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
13912 N WESTERN AVE
EDMOND, OK
ZIP 73013
Phone: (405) 840-5591
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EDMOND DENTISTRY AND BRACES is a dental clinic center in Edmond, OK. EDMOND DENTISTRY AND BRACES NPI is 1487293270. The provider is registered as an organization entity type.
The provider Is Doing Business As Smileworx Dental.

The provider's business location address is:

13912 N WESTERN AVE
EDMOND, OK
ZIP 73013-792
Phone: (405) 840-5591

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

The enumeration date for this NPI number is 12/27/2019 and was last updated on 6/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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