Organization Active NPI

The Dental Garage PLLC

  • Dental Clinic/Center
  • Blanchard, OK
National Provider Identifier
1548014194
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THE DENTAL GARAGE PLLC
Practice address
224 E Veterans Memorial Hwy
Blanchard, OK 73010-5221
Phone
(405) 597-2148
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Benjamin Bowman, DDS
Title
Ceo
Phone
(405) 326-8004

Specialties & licenses 1

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

Addresses

Primary practice location

224 E Veterans Memorial Hwy
Blanchard, OK 73010-5221

Mailing address

851 W I 35 Frontage Rd Ste 350
Edmond, OK 73034-7461
Phone (405) 930-4100

National Provider Directory

National Provider Directory

Locations

224 E Veterans Memorial Hwy
Blanchard, OK 73010
Phone (405) 597-2148

Practitioners & affiliated clinicians

Practitioners 1

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": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1548014194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W I 35 FRONTAGE RD STE 350",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347461",
            "telephone_number": "405-930-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E VETERANS MEMORIAL HWY",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730105221",
            "telephone_number": "405-597-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL GARAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-326-8004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanchard, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.