NPIMap

Organization Active NPI

Dental Implant Centre'

  • Dentist
  • Ardmore, OK
National Provider Identifier
1114192945
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4684 Issued in OK
Legal business name
DENTAL IMPLANT CENTRE'
Practice address
2401 N Commerce St
Ardmore, OK 73401-1280
Phone
(580) 226-0410
Fax
(580) 224-9124
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Ronald Alan Bulard, DDSNPI 1851301824
Title
Owner
Phone
(580) 226-0410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4684 OK Primary

Addresses

Primary practice location

2401 N Commerce St
Ardmore, OK 73401-1280

Mailing address

2401 N Commerce St
Ardmore, OK 73401-1280
Phone (580) 226-0410

National Provider Directory

National Provider Directory

Locations

2401 N Commerce St
Ardmore, OK 73401
Phone (580) 226-0410

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1114192945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011280",
            "telephone_number": "580-226-0410",
            "fax_number": "580-224-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011280",
            "telephone_number": "580-226-0410",
            "fax_number": "580-224-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT CENTRE'",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "BULARD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-226-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.