MSDG PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MSDG PLLC

Doing business as

Masterpiece Smiles Dental Group

Practice address

3920 E 91St St
Tulsa, OK 74137-3602

Phone

(918) 496-2481

NPI assigned

Jan 2, 2023

Last updated

Jan 2, 2023By 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

Joshua V Brasher, DDS

Title

Owner/ Dentist

Phone

(405) 250-2255

Specialties & licenses 1

Addresses

Other names 1

• Masterpiece Smiles Dental Group Doing business as

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1063125375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373602",
            "telephone_number": "918-496-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373602",
            "telephone_number": "918-496-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSDG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "405-250-2255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masterpiece Smiles Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, 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 Jan 2, 2023; 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.