Yukon Dentistry & Braces

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YUKON DENTISTRY & BRACES

Practice address

901 E Main Street
Suite 100
Yukon, OK 73099

Phone

(405) 493-0830

NPI assigned

May 7, 2020

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

Practitioners 1

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

• Matthew J Muir

  • General Practice Dentistry
  • Mustang, OK
  • NPI 1669097077
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1073135588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E. MAIN ST",
            "address_2": "STE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-493-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E MAIN STREET",
            "address_2": "SUITE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-493-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKON DENTISTRY & BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-14",
        "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": []
}

• Elizabeth Anne Younger, PT
• Youth & Family Services, Inc.
• Yukon Chiropractic
• Yukon Dental Center for Kids (Yukon Kids Dental)
• Yukon Dental Group PLLC (Endodontics and Dental Implants of Oklahoma)
• Yukon Maxillo-Facial Surgery Center
• Yukon Medical Imaging LLC
• Yukon Pediatrics Behavioral Health L.L.C.
• Yukon Pharmacy Inc (West Pointe Pharmacy)
• Yukon Public

• Dental Clinic/Center in Yukon, OK
• Providers in Yukon, 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 Feb 2, 2021; 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.