NPIMap

Organization Active NPI

Dewey Dental, PLLC

  • Dental Clinic/Center
  • Dewey, OK
National Provider Identifier
1396186169
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6473 Issued in OK
Legal business name
DEWEY DENTAL, PLLC
Practice address
417 E Don Tyler Ave
Dewey, OK 74029-2315
Phone
(918) 534-3170
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Dr. Nathan T Bulleigh, D.D.S.NPI 1942641717
Title
President/Dentist
Phone
(918) 534-3170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6473 OK Primary

Addresses

Primary practice location

417 E Don Tyler Ave
Dewey, OK 74029-2315

Mailing address

417 E Don Tyler Ave
Dewey, OK 74029-2315
Phone (918) 534-3170

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1396186169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E DON TYLER AVE",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740292315",
            "telephone_number": "918-534-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E DON TYLER AVE",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740292315",
            "telephone_number": "918-534-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWEY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "BULLEIGH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "918-534-3170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "6473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewey, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.