Edmond Dentistry and Braces

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EDMOND DENTISTRY AND BRACES

Doing business as

SmileWorx Dental

Practice address

13912 N Western Ave
Edmond, OK 73013-1792

Phone

(405) 840-5591

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin James Bowman, DDS

Title

Owner

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Other names 1

• SmileWorx Dental Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1487293270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13912 N WESTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13912 N WESTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131792",
            "telephone_number": "405-840-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND DENTISTRY AND BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-326-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.smileworxdental.com",
            "affiliation": "N",
            "address_1": "13912 N Western Ave",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730131792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SmileWorx Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edmond Association of Retarded Citizens, Inc.
• Edmond Child and Family Guidance Center
• Edmond Chiropractic Rehabilitation PLLC
• Edmond Counseling & Professional Development, LLC
• Edmond Dental Associates PLLC
• Edmond Family Chiropractic PLLC
• Edmond Family Counseling, Inc.
• Edmond Family Dental Designs
• Edmond Group Health, LLC
• Edmond Health and Rehabilitation, LLC

• Dental Clinic/Center in Edmond, OK
• Providers in Edmond, 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 Jun 16, 2021; 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.