Bethany Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

6256 Issued in OK

Legal business name

BETHANY DENTAL GROUP PLLC

Doing business as

Bethany Dental Group

Practice address

6301 NW 23Rd St
Bethany, OK 73008-5931

Phone

(405) 474-6362

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By 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

Joshua Brasher, DDS

Title

Owner/Manager

Phone

(405) 474-6362

Specialties & licenses 1

Addresses

Other names 1

• Bethany Dental Group Doing business as

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1265984066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085931",
            "telephone_number": "405-474-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085931",
            "telephone_number": "405-474-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "405-474-6362",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Benear, M.S.,CCC-SLP
• Hillary Ann Bennett, PA-C
• Antonia Angeline Benton, REGISTERED NURSE
• Collin Michael Berkman
• Kali Bernhard, M.A., CCC-SLP
• Bethany Foot Clinic LTD
• Bethany Medical Clinic, PLLC
• Bethany Perfusion, PC
• Bethany Public Schools
• Bethany United Drug Co (Bethany Drug)

• Dentist in Bethany, OK
• Providers in Bethany, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.