SDC Dental Practice of Ohio, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SDC DENTAL PRACTICE OF OHIO, LLC

Practice address

7101 NW 150TH St Ste 100
Oklahoma City, OK 73142-9716

Phone

(405) 896-7997

Fax

(405) 896-7991

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Deren Flesher, DDS

Title

Owner

Phone

(405) 896-7997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1689133126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 NW 150TH ST STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731429716",
            "telephone_number": "405-896-7997",
            "fax_number": "405-896-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 NW 150TH ST STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731429716",
            "telephone_number": "405-896-7997",
            "fax_number": "405-896-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDC DENTAL PRACTICE OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "FLESHER",
        "authorized_official_first_name": "DEREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-896-7997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle M Scozzafava, DO
• Gina Y Scruggs, LPN
• Mary E M Scruggs, LMFT
• Steven Merrill Scruggs, PSY.D.
• SCWW LLC
• SDC Dental Practice of Oklahoma, PLLC
• Sdpokc, PLLC
• SDX Home Care Operations, LLC
• Joshua Seaberg
• Lyndi Ann Seabolt-Shimek

• Dentist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.