Mustang Dentistry & Braces

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6076 Issued in OK

Legal business name

MUSTANG DENTISTRY & BRACES

Practice address

1001 E. Highway 152
Suite 113
Mustang, OK 73064

Phone

(405) 353-1388

NPI assigned

Jul 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin James Bowman, DDS

Title

Manager

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew J Muir

  • General Practice Dentistry
  • Mustang, OK
  • NPI 1669097077
  NPD
• Clark Kevin Oakey, DDS

  • Dentist
  • Mustang, OK
  • NPI 1215666706
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1346762564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E HIGHWAY 152",
            "address_2": "SUITE 113",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064",
            "telephone_number": "405-353-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E. HIGHWAY 152",
            "address_2": "SUITE 113",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064",
            "telephone_number": "405-353-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG DENTISTRY & BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-326-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205032935",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suparna Mukherjee
• Kalei Kanani-Blue Muniz, APRN-CNP
• Kylee Lynn Munson
• Mustang Chiropractic
• Mustang Counseling Services LLC
• Mustang Drug LLC
• Mustang Family Dental
• Mustang Family Physicians PC
• Mustang Foot & Ankle Clinic, LLC
• Mustang Multispecialty Accociation

• Dental Clinic/Center in Mustang, OK
• Providers in Mustang, 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 Oct 29, 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.