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STILLWATER DENTISTRY & BRACES NPI 1962924100


NPI Information

NPI: 1962924100
Provider Name: STILLWATER DENTISTRY & BRACES
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
316 N MAIN ST STE 1
STILLWATER, OK
ZIP 74075
Phone: (405) 372-7474
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STILLWATER DENTISTRY & BRACES is a dental clinic center in Stillwater, OK. STILLWATER DENTISTRY & BRACES NPI is 1962924100. The provider is registered as an organization entity type.

The provider's business location address is:

316 N MAIN ST STE 1
STILLWATER, OK
ZIP 74075
Phone: (405) 372-7474
Fax: (405) 372-7429

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

The enumeration date for this NPI number is 7/10/2017 and was last updated on 7/21/2022.


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/CenterDental6076Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.