Bixby Spartan Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BIXBY SPARTAN DENTAL PLLC

Doing business as

Spartan Family Dentistry

Practice address

5 W Dawes Ave
Bixby, OK 74008-4422

Phone

(918) 366-3777

NPI assigned

Sep 24, 2019

Last updated

Sep 24, 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

Priscila Jelsing, DDS

Title

President

Phone

(918) 743-7444

Specialties & licenses 1

Addresses

Other names 1

• Spartan Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1467003186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 S ATLANTA PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141709",
            "telephone_number": "918-743-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W DAWES AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084422",
            "telephone_number": "918-366-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIXBY SPARTAN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "JELSING",
        "authorized_official_first_name": "PRISCILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-743-7444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spartan Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bixby Family Dentistry PLLC
• Bixby Health and Rehabilitation, LLC (Southtown Nursing and Ventilator Care)
• Bixby Manor, LLC (Bixby Manor)
• Bixby North Clinic of Chiropractic
• Bixby Public School
• Black Sable Laboratories, LLC
• Mitzi Blanchard, APRN-CNP
• Taylor Blevins
• Bluebird Industries LLC
• Bluestem Family Medical PLLC

• Dental Clinic/Center in Bixby, OK
• Providers in Bixby, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.