South Side Dental Partners, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH SIDE DENTAL PARTNERS, PLLC

Doing business as

Comfort Dental Southwestern Ave

Practice address

3725 S Western Ave SPC 725
Oklahoma City, OK 73109-3401

Phone

(405) 400-2670

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Gray, DMDNPI 1811286388

Title

Partner

Phone

(405) 655-9231

Specialties & licenses 1

Addresses

Other names 1

• Comfort Dental Southwestern Ave Doing business as

Locations

Practitioners 1

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

• David Thomas Gray, D.M.D.

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1811286388
  NPD Authorized official

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1386378420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 W MISSION SPRINGS DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 S WESTERN AVE SPC 725",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093401",
            "telephone_number": "405-400-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SIDE DENTAL PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Southwestern Ave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Senna Sous, MD
• South Okc Women'S Healthcare
• South Oklahoma Orthopedics Inc.
• South Park Health Care LLC
• South Penn PLLC
• South Wellness Community Health Clinic
• South West Urgent Care Inc
• South Wind Women'S Center
• John South, LPC
• Southeastern Oklahoma Family Services, Inc

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, 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 Jul 14, 2022; 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.