Scissortail Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3794 Issued in OK

Legal business name

SCISSORTAIL DENTAL PLLC

Practice address

216 E 10TH Street PLZ
Edmond, OK 73034-4737

Phone

(405) 348-5100

NPI assigned

Jul 10, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James FarleyNPI 1932101813

Title

Managing Partner

Phone

(405) 348-5100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Farley, D.D.S.

  • General Practice Dentistry
  • Edmond, OK
  • NPI 1932101813
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1013403336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E 10TH STREET PLZ",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E 10TH STREET PLZ",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344737",
            "telephone_number": "405-348-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCISSORTAIL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "405-348-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wayne Schulze II, NP-C
• Mary Beth Schwager, MOTR/L
• Elliott R Schwartz, DO
• Ayla Schwegal, RBT
• Madison Schwenke
• Scissortail Therapy Services LLC
• Scot a Sullivan MD PC
• Scott C. Sigler MD PC
• Scott Newbrough MD PLLC (Restore Plastic Surgery Center)
• Andrew W Scott, LPC, LADC

• General Practice Dentistry in Edmond, OK
• Providers in Edmond, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.