El Reno Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6076 Issued in OK

Legal business name

EL RENO DENTAL

Practice address

1601 Investors Ave
El Reno, OK 73036

Phone

(405) 262-1919

Fax

(405) 563-9374

NPI assigned

Jul 13, 2017

Last updated

Jan 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin James Bowman

Title

Manager

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wesley Guenther, DDS

  • General Practice Dentistry
  • Chickasha, OK
  • NPI 1033639430
  NPD (past)
• Shaun Heier, DDS

  • General Practice Dentistry
  • El Reno, OK
  • NPI 1902467871
  NPD (past)
• James Albert Joern, D.D.S.

  • General Practice Dentistry
  • El Reno, OK
  • NPI 1508126772
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1033631841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 HARMONY DR STE E",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306253",
            "telephone_number": "405-262-1919",
            "fax_number": "405-563-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 INVESTORS AVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "73036",
            "telephone_number": "405-262-1919",
            "fax_number": "405-563-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RENO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-326-8004"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morganne Eaton
• Carrie Denise Edwards, RN
• Deidra Edwards
• El Reno Chiropractic Inc
• El Reno Community Clinic, Inc. Dba 'PHCC'
• El Reno Dental
• El Reno Dental Group PLLC
• El Reno Family Clinic and Minor Emergency Services, Inc
• El Reno Health Care, LLC (El Reno Post-Acute Rehabilitation Center)
• El Reno IHS Pharmacy

• Dental Clinic/Center in El Reno, OK
• Providers in El Reno, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.