Stoltenberg Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6118 Issued in OK

Legal business name

STOLTENBERG DENTAL PLLC

Practice address

707 24TH Ave SW Ste 201
Norman, OK 73069-3957

Phone

(405) 364-6064

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Braden Hofman Stoltenberg, DDSNPI 1477780294

Title

Dentist/Ceo

Phone

(405) 406-1529

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Braden Hofman Stoltenberg, D.D.S.

  • Dentist
  • Norman, OK
  • NPI 1477780294
  NPD (past) Authorized official
• Wallace George Haskett, DDS

  • General Practice Dentistry
  • Norman, OK
  • NPI 1932121118
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1063954642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 GREEN FIELD CIR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723131",
            "telephone_number": "405-406-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW STE 201",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693957",
            "telephone_number": "405-364-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOLTENBERG DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "STOLTENBERG",
        "authorized_official_first_name": "BRADEN",
        "authorized_official_middle_name": "HOFMAN",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "405-406-1529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "6118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Kassidy Stith
• Anna Marie Stockley, LPC-CANDIDATE
• Shelly Janet Stockton, R.PH., PH.D.
• Cheryl Renee Stoepker, APRN
• Harold Stokes II, MHT
• Braden Hofman Stoltenberg, D.D.S.
• Abbigail Alexandra Stone, CPRSS
• Candace Stone, ASSOCIATES
• Heather Stone
• Robert Eldon Stone

• Dental Clinic/Center in Norman, OK
• Providers in Norman, 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 14, 2016; 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.