Family Dentistry of Broken Arrow PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4737 Issued in OK

Legal business name

FAMILY DENTISTRY OF BROKEN ARROW PC

Practice address

2001 S Elm PL
Suite E
Broken Arrow, OK 74012

Phone

(918) 455-3777

Fax

(918) 451-6316

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Mitchell Hughes, DMDNPI 1992961031

Title

President

Phone

(918) 455-3777

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.

• Timothy Mitchell Hughes, D.M.D.

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1992961031
  NPD (past) Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124131172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S ELM PL",
            "address_2": "SUITE E",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-455-3777",
            "fax_number": "918-451-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S ELM PL",
            "address_2": "SUITE E",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-455-3777",
            "fax_number": "918-451-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF BROKEN ARROW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-455-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert Fagan
• Ty Harrison Faglie, DPT, PT
• Julie Fain Dulin, CCC-SLP
• Nana Fajugbagbe, FNP
• Family Care of Broken Arrow, Inc. (Family Medicine Associates)
• Family Smiles Dentistry, PLLC
• Cicely Fanning
• Lora Farrar
• Amie Farris, APRN
• Kailey Lynn Farris

• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, 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.