Bartlesville Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BARTLESVILLE FAMILY DENTAL, LLC

Practice address

140 SE Debell Ave
Bartlesville, OK 74006-2303

Phone

(918) 333-1576

NPI assigned

Feb 4, 2022

Last updated

Feb 5, 2024By 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

Brad Nelson

Title

Owner

Phone

(405) 260-6080

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, and the practitioner matching its NPPES authorized official.

• Richard Allen Clement, DDS

  • General Practice Dentistry
  • Bartlesville, OK
  • NPI 1588676381
  NPD (past)
• Jacob Boyd Ward, DMD, MBA

  • General Practice Dentistry
  • Bartlesville, OK
  • NPI 1356089635
  NPD (past)

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1104570605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SE DEBELL AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062303",
            "telephone_number": "918-333-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SE DEBELL AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062303",
            "telephone_number": "918-333-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLESVILLE FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-260-6080"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartlesville Ambulance Service
• Bartlesville Care Center Inc. (Bartlesville Health & Rehab Community)
• Bartlesville Chiropractic, Inc.
• Bartlesville Companion Care, LLC
• Bartlesville Dental Studio P.C. (Bartlesville Dental Studio)
• Bartlesville Family Eyecare
• Bartlesville Oral Surgery, PLLC
• Bartlesville Pediatric Occupational Therapy, LLC (: Bartlesville Hope Pediatric Clinic)
• Bartlesville Periodontics and Dental Implants
• Bartlesville Physicians Care, PLLC (Bartlesville Urgent Care)

• Dental Clinic/Center in Bartlesville, OK
• Providers in Bartlesville, 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 5, 2024; 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.