KINGFISHER DENTAL PLLC (NPI# 1992849996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992849996 |
| Entity Type | Organization |
| Organization Name | KINGFISHER DENTAL PLLC |
| Practice Address |
2302 S. Frontage Rd Kingfisher OK 73750 |
| Mailing Address |
2400 S. Frontage Rd Kingfisher OK 73750 |
| Practice Telephone | 4053755855 |
| Mailing Telephone | 4053755855 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-06-26 |
| Authorized Official Name | DR. BENJAMIN JAMES BOWMAN (OWNER) |
| Authorized Official Telephone | 4053755855 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3767 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200208490A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982967618 | Kingfisher Dental Pllc | Dentist | 2302 Frontage Rd, Kingfisher, OK 73750-4810 | 2012-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | KINGFISHER DENTAL PLLC | 2302 S Frontage Rd, Kingfisher, OK 73750 |
| Street Address |
2302 S. FRONTAGE RD |
| City | KINGFISHER |
| State | OK |
| Zip Code | 73750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992155386 | Jami Grantz | General Acute Care Hospital | 1000 Kingfisher Reg Hosp Dr, Kingfisher, OK 73750 | 2016-06-15 |
| 1083048417 | Mercy Hospital Kingfisher, Inc | General Acute Care Hospital | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2013-08-21 |
| 1245544246 | Amber Lisette Davis | Occupational Therapist | 500 S. 9th Street, Kingfisher, OK 73750 | 2010-08-02 |
| 1881921310 | Diane Marie Minnis | Dietitian, Registered | 1000 Kingfisher Regional Hospital Dr, Kingfisher, OK 73750 | 2009-11-04 |
| 1366694663 | Shea Nicole Krablin | Speech-Language Pathologist | 401 West Bowman, Kingfisher, OK 73750 | 2008-10-17 |
| 1073719209 | Nathan Kelly Brown | Dentist | 2302 S Frontage Rd, Kingfisher, OK 73750 | 2007-06-25 |
| 1942385075 | Ltrx Inc. | Pharmacy | 1308 S. Main Street, Kingfisher, OK 73750 | 2006-10-26 |
| 1497841175 | Gary E Palmer | Chiropractor | 723 S. Main Street, Kingfisher, OK 73750 | 2006-10-04 |
| 1356302947 | Bridget A. Keast | Physician Assistant | 1002 Hospital Drive, Kingfisher, OK 73750 | 2006-03-31 |
| 1922076975 | Kingfisher Regional Hospital | General Acute Care Hospital | 1000 Kingfisher Hosp Dr, Kingfisher, OK 73750 | 2006-03-08 |
| Find all providers in zip 73750 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982967618 | Kingfisher Dental Pllc | Dentist | 2302 Frontage Rd, Kingfisher, OK 73750-4810 | 2012-06-18 |
| 1073719209 | Nathan Kelly Brown | Dentist | 2302 S Frontage Rd, Kingfisher, OK 73750 | 2007-06-25 |
| 1770669194 | Jim D Smith | Dentist | 524 S 7th St, Kingfisher, OK 73750-3524 | 2006-10-27 |
| 1891723862 | Jeffrey Carl Danner | Dentist | 901 Hospital Cir, Kingfisher, OK 73750-5006 | 2006-06-29 |
| 1003431123 | Benjamin Nicolas Cuevas | Dentist | 100 Starlite Dr, Kingfisher, OK 73750-4944 | 2020-06-15 |
| 1164081949 | Austin Michael Neil | Dentist | 100 Starlite Dr, Kingfisher, OK 73750-4944 | 2019-06-06 |
| 1346536646 | Christopher Lee Barnett | Dentist | 100 Starlite Dr, Kingfisher, OK 73750-4944 | 2011-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1679183420 | Dentists of Moore and Orthodontics | Dentist | 740 Sw 19th St Ste C, Moore, OK 73160-3062 | 2020-08-06 |
| 1770192635 | Joseph Ghazal | Dentist | 1520 S Main St # 1, Blackwell, OK 74631-4921 | 2020-07-27 |
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1679190953 | Harmon Denture Clinic LLC | Dentist | 104 E Mcelroy Rd Ste 4, Stillwater, OK 74075-3803 | 2020-07-02 |
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1053937854 | Nathan Sethman | Dentist | 1410 N Louis Tittle Ave, Mangum, OK 73554-2218 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | KINGFISHER |
| Zip Code | 73750 |
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| 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.