Dr G Bret Anderson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5044 Issued in OK

Legal business name

DR G BRET ANDERSON

Practice address

421 E 5TH St
Okmulgee, OK 74447-4042

Phone

(918) 756-3718

Fax

(918) 756-8469

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By 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

Dr. Bret G Anderson, DDS

Title

Owner/President

Phone

(918) 756-3718

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1649423187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E 5TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474042",
            "telephone_number": "918-756-3718",
            "fax_number": "918-756-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E 5TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474042",
            "telephone_number": "918-756-3718",
            "fax_number": "918-756-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR G BRET ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "918-756-3718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Okmulgee, OK
• Providers in Okmulgee, 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 Oct 28, 2008; 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.