Clinton Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLINTON DENTAL GROUP PLLC

Practice address

810 W Gary Blvd
Clinton, OK 73601-2720

Phone

(580) 323-0763

NPI assigned

Dec 12, 2023

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

Member

Phone

(405) 250-2255

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Devin Seviano Morales, DDS

  • General Practice Dentistry
  • Clinton, OK
  • NPI 1568201127
  NPD
• Kyle Landon Serfoss, D.D.S.

  • General Practice Dentistry
  • Clinton, OK
  • NPI 1942233044
  NPD

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1558139345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W GARY BLVD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736012720",
            "telephone_number": "580-323-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W GARY BLVD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736012720",
            "telephone_number": "580-323-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-250-2255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chic Aesthetics and Wellness X Michaela LLC
• Christopher Kolker, MD PLLC (Christopher Kolker, M.D.)
• Tresce Jessica Clark, B.S.
• Clint and Carolyn Inc. (Better Hearing Systems)
• Clinton Chiropractic Center Inc
• Clinton Hma LLC (AllianceHealth Clinic Clinton Hills)
• Clinton Hma LLC (AllianceHealth Clinic Clinton)
• Clinton Hma LLC (AllianceHealth Clinic - Clinton)
• Clinton Hma LLC (AllianceHealth Clinic Clinton)
• Clinton Hma, LLC (AllianceHealth Clinton)

• General Practice Dentistry in Clinton, OK
• Providers in Clinton, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.