Prattvile Family Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRATTVILE FAMILY DENTISTRY PC

Doing business as

Galleria of Smiles

Practice address

104 W 41St St
Sand Springs, OK 74063-2709

Phone

(918) 245-5976

Fax

(918) 245-2218

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 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

Mehrdad Emami, D.D.S.

Title

Doctor

Phone

(918) 245-5976

Specialties & licenses 1

Addresses

Other names 1

• Galleria of Smiles Doing business as

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083747240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 41ST ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740632709",
            "telephone_number": "918-245-5976",
            "fax_number": "918-245-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 41ST ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740632709",
            "telephone_number": "918-245-5976",
            "fax_number": "918-245-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATTVILE FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMAMI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "918-245-5976",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galleria of Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassie D Place
• Courtney Plummer, DPT
• Keith Plump Jr.
• Pmo Medical PLLC (Pain Management of Oklahoma)
• Robyn Potter, MPT
• Kristina Price, DO
• Brent Charles Pritchard
• Jim C Pritchard
• Joshua Alan Pritchard, PHARM D
• Proctor's Advanced Care Services LLC

• General Practice Dentistry in Sand Springs, OK
• Providers in Sand Springs, 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 Aug 22, 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.