Sapulpa Dentistry and Braces

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAPULPA DENTISTRY AND BRACES

Practice address

911 Ridge Pointe Dr
Sapulpa, OK 74066-4463

Phone

(405) 326-8004

NPI assigned

Nov 9, 2020

Last updated

Nov 9, 2020By 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 Bowman

Title

Owner

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1033711791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 RIDGE POINTE DR",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664463",
            "telephone_number": "405-326-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 RIDGE POINTE DR",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664463",
            "telephone_number": "405-326-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPULPA DENTISTRY AND BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-326-8004"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halley Sanchez
• Shannon S Sandmeyer
• Toni Sanitoa
• Joyce Sanseverino
• Tera Santistevan, DPM
• Sapulpa Drive in Pharmacy (Sapulpa Drive in Pharmacy Inc)
• Sapulpa Kids Dental PLLC
• Sapulpa Public Schools
• Steven Sassin, B.A.
• Melissa Diane Scheef, RD

• Dental Clinic/Center in Sapulpa, OK
• Providers in Sapulpa, 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 Nov 9, 2020; 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.