Sally Margaret Bock X, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7413 Issued in OK

Practice address

2619 S Elm PL
Broken Arrow, OK 74012-7878

Phone

(918) 872-0218

NPI assigned

Jun 8, 2021

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Dental Oral Health Center of Oklahoma, P.C.

  dba Advantage Dental Plus

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1386412328
  NPD
• Dental Design Studio

  • Dentist
  • Norman, OK
  • NPI 1205139656
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1225605298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 PEACHTREE CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730252920",
            "telephone_number": "405-821-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127878",
            "telephone_number": "918-872-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "SALLY",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "name_suffix": "X",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7413",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bliss Dialysis LLC (Berkshire Home Training)
• Shanae Block
• Sarah E Blotevogel, DPT
• Blueprint Signature Services LLC
• Board of Regents of the University of Oklahoma Ou Physicians Tulsa (OU Physicians Tulsa CSOS Broken Arrow)
• Julie Genet Bohanon, MA, CCC-SLP
• Chelsea Marie Bois
• Daniel Boland, MS
• Carlene Adria Bolen, D.C.
• Bradley Ray Bolin, BS

• 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 Sep 12, 2025; 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.