Organization Active NPI

Dental Excellence PC

  • Dentist
  • Skiatook, OK
National Provider Identifier
1043325061
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4393 Issued in OK
Legal business name
DENTAL EXCELLENCE PC
Practice address
1400 W 4TH St
Skiatook, OK 74070
Phone
(918) 396-3711
Fax
(918) 396-1062
NPI assigned
Aug 20, 2006
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Bradford Ray Williams
Title
Dentist Owner
Phone
(918) 396-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4393 OK Primary

Addresses

Primary practice location

1400 W 4TH St
Skiatook, OK 74070

Mailing address

PO Box 1090
Skiatook, OK 74070
Phone (918) 396-3711

National Provider Directory

National Provider Directory

Locations

1400 W 4th St
Skiatook, OK 74070
Phone (918) 396-3711

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1043325061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "74070",
            "telephone_number": "918-396-3711",
            "fax_number": "918-396-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "74070",
            "telephone_number": "918-396-3711",
            "fax_number": "918-396-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL EXCELLENCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "918-396-3711",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skiatook, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.