Active NPI
Tecumseh Dental Clinic
- Dentist
- Tecumseh, OK
National Provider Identifier
1356424436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4450
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.