Green Country Dental Arts Downtown, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6042 Issued in OK

Legal business name

GREEN COUNTRY DENTAL ARTS DOWNTOWN, PC

Practice address

412 E 4TH St
Bartlesville, OK 74003-3603

Phone

(918) 336-1262

NPI assigned

Oct 9, 2012

Last updated

Oct 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brendon Miles Swisher, D.D.S.NPI 1043472707

Title

President

Phone

(918) 336-1262

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brendon Miles Swisher, D.D.S.

  • General Practice Dentistry
  • Bartlesville, OK
  • NPI 1043472707
  NPD (past) Authorized official

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1366794836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 4TH ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033603",
            "telephone_number": "918-336-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 4TH ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033603",
            "telephone_number": "918-336-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY DENTAL ARTS DOWNTOWN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "SWISHER",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-336-1262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gravel Road, LLC
• Caroline Gray
• Dawn Gray, BA
• Emily Gray
• Jennifer Gray
• Green Country Dental Arts, PC
• Green Country Denture Center (Premier Dentures & Implants)
• E'Ula Green, LMSW
• Jordan Edward Green
• Michelle Suzanne Greene, PT

• General Practice Dentistry in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.