Valley Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VALLEY DENTAL GROUP PLLC

Practice address

101 Miller Dr
Pauls Valley, OK 73075-6412

Phone

(405) 238-2574

NPI assigned

Jan 18, 2019

Last updated

Dec 11, 2019By 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

Joshua Brasher, DDS

Title

Ceo

Phone

(405) 474-6362

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Shane Fehrenbach, DDS

  • General Practice Dentistry
  • Pauls Valley, OK
  • NPI 1164149605
  NPD
• Joseph Kenneth Fleming, D.D.S.

  • Dentist
  • Pauls Valley, OK
  • NPI 1770804932
  NPD
• Nickolas James Stone, DDS

  • Dentist
  • Pauls Valley, OK
  • NPI 1558110676
  NPD

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1437623808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILLER DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756412",
            "telephone_number": "405-238-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILLER DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756412",
            "telephone_number": "405-238-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-474-6362",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc (Pauls Valley Dialysis)
• Chelsea Ann Triplett
• Jia Tu
• Unity Recovery Centers
• Urgent Care of Pauls Valley Aprn-CNP LLC
• Valley Family Clinic Inc
• Bruce Wayne Varner, O.D.
• Shelia Vick
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1043)
• Aaron Wallace

• Dentist in Pauls Valley, OK
• Providers in Pauls Valley, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.