SAND SPRINGS DENTISTRY AND BRACES (NPI# 1609474758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609474758 |
| Entity Type | Organization |
| Organization Name | SAND SPRINGS DENTISTRY AND BRACES |
| Other Organization Name | SAND SPRINGS DENTISTRY AND BRACES |
| Practice Address |
152 W. Alexander Blvd Ste E Sand Springs OK 74063 |
| Mailing Address |
152 W. Alexander Blvd Sand Springs OK 74063 |
| Practice Telephone | 9188787801 |
| Mailing Telephone | 9188787801 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | BENJAMIN BOWMAN (OWNER) |
| Authorized Official Telephone | 4053268004 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sand Springs Dentistry and Braces | Doing Business As Name - Organization |
| Street Address |
152 W. ALEXANDER BLVD STE E |
| City | SAND SPRINGS |
| State | OK |
| Zip Code | 74063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1689189987 | Constance Rebecca Dimond | Pharmacist | 251 South Hwy 97, Sand Springs, OK 74063 | 2017-12-08 |
| 1104272608 | Rebecca Schulz | Midwife | 20361 W 51st Street, Sand Springs, OK 74063 | 2016-05-13 |
| 1801295266 | Tifhanie Edison | Social Worker | 118 Imperial Blvd, Sandsprings, OK 74063 | 2014-08-21 |
| 1518372770 | Spring Innovations Ok PC | Dentist | 530 Plaza Court, Sand Springs, OK 74063 | 2014-06-26 |
| 1669884987 | James Nelson Cornwell | Family Medicine | 514 Plaza Ct, Sand Springs, OK 74063 | 2014-05-21 |
| 1366874190 | Tim B. Williamson | Acupuncturist | 608 W 41st St, Sand Springs, OK 74063 | 2013-08-03 |
| 1205153483 | Excel Therapy Specialists, LLC | Physical Therapist | 422 Plaza Ct., Ste. A, Sand Springs, OK 74063 | 2010-04-27 |
| 1548592512 | Shannon Kathleen Marie Christmas | Counselor | 401 E Broadway Ct, Suite E, Sand Springs, OK 74063 | 2010-02-02 |
| 1073841144 | Stephanie Sims | Specialist/Technologist, Other | 3812 S Bermuda Ave, Sand Springs, OK 74063 | 2009-11-30 |
| Find all providers in zip 74063 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760857742 | L & A Investments | Clinic/Center | 3905 State Highway 97, Suite 100, Sand Springs, OK 74063 | 2015-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796580 | Perry Smiles LLC | Clinic/Center | 505 N 14th St Ste B, Perry, OK 73077-5000 | 2020-10-06 |
| 1518578095 | Summer Dental Midwest City, Pllc | Clinic/Center | 1900 S Air Depot Blvd Ste 1, Midwest City, OK 73110-5522 | 2020-08-10 |
| 1922626639 | Dental Lodge of Purcell | Clinic/Center | 1929 S Green Ave, Purcell, OK 73080-6203 | 2020-07-09 |
| 1821616533 | Enhance Dental of Norman | Clinic/Center | 1049 12th Ave Ne # 100, Norman, OK 73071-5312 | 2020-07-09 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1265052062 | Ada Dentistry and Braces | Clinic/Center | 931 Arlington St Ste 3, Ada, OK 74820-4025 | 2020-04-21 |
| 1225657133 | Impressions Dental of Harrah | Clinic/Center | 20926 Se 29th St Ste A, Harrah, OK 73045-6610 | 2020-04-10 |
| 1063041275 | Fleming Dental Co Pllc | Clinic/Center | 13316 S Western Ave Ste B, Oklahoma City, OK 73170-7309 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
| City | SAND SPRINGS |
| Zip Code | 74063 |
Please comment or provide details below to improve the information on SAND SPRINGS DENTISTRY AND BRACES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.