Stillwater Dental and Implants, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STILLWATER DENTAL AND IMPLANTS, LLC

Practice address

900 S Walnut St
Stillwater, OK 74074-5230

Phone

(405) 372-5040

NPI assigned

Sep 1, 2023

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

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1295511640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SE 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731356017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S WALNUT ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745230",
            "telephone_number": "405-372-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER DENTAL AND IMPLANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaycee L Stewart, PRSS
• Meagan L Stewart
• Tom R Stewart, D.D.S., M.S.D.
• Stillwater Chiropractic Clinic Inc
• Stillwater Counseling Center
• Stillwater Dental Associates
• Stillwater Dentistry & Braces
• Stillwater Dermatology Clinic
• Stillwater Domestic Violence Services, Inc.
• Stillwater Endodontics Darrell W. Daugherty, DDS,PC

• Dental Clinic/Center in Stillwater, OK
• Providers in Stillwater, 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.