Organization Active NPI

Tecumseh Dental Clinic

  • Dentist
  • Tecumseh, OK
National Provider Identifier
1356424436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4450 Issued in OK
Legal business name
TECUMSEH DENTAL CLINIC
Practice address
204 E Walnut St
Tecumseh, OK 74873-2030
Phone
(405) 598-3777
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Reed Sharpe, D.D.S.
Title
Dentist
Phone
(405) 598-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4450 OK Primary

Addresses

Primary practice location

204 E Walnut St
Tecumseh, OK 74873-2030

Mailing address

204 E Walnut St
Tecumseh, OK 74873-2030
Phone (405) 598-3777

Other names 1

  • Bruce R. Sharpe DDS Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356424436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E WALNUT ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748732030",
            "telephone_number": "405-598-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E WALNUT ST",
            "city": "TECUMSEH",
            "state": "OK",
            "postal_code": "748732030",
            "telephone_number": "405-598-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECUMSEH DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-598-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce R. Sharpe DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tecumseh, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.