NPIMap

Organization Active NPI

East Sooner Dental Partners PLLC

Doing business as Comfort Dental Midwest City

  • General Practice Dentistry
  • Midwest City, OK
National Provider Identifier
1326558628
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EAST SOONER DENTAL PARTNERS PLLC
Doing business as
Comfort Dental Midwest City
Practice address
7100 SE 15TH St
Midwest City, OK 73110-5234
Phone
(405) 241-9960
NPI assigned
Oct 2, 2017
Last updated
Jan 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Dr. David Thomas Gray, DMDNPI 1811286388
Title
Owner/Partner
Phone
(405) 655-9231

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X OK Primary

Addresses

Primary practice location

7100 SE 15TH St
Midwest City, OK 73110-5234

Mailing address

1700 SE 15TH Street
Midwest City, OK 73110
Phone (405) 241-9960

Other names 1

  • Comfort Dental Midwest City Doing business as

National Provider Directory

National Provider Directory

Locations

7100 SE 15th St
Midwest City, OK 73110
Phone (405) 241-9960

1700 SE 15th St
Oklahoma City, OK 73129

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1326558628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE 15TH STREET",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-241-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SE 15TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105234",
            "telephone_number": "405-241-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SOONER DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "405-655-9231",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Midwest City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.