Organization Active NPI

Lawton Dental and Implants, LLC

  • Dental Clinic/Center
  • Lawton, OK
National Provider Identifier
1689252512
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAWTON DENTAL AND IMPLANTS, LLC
Practice address
309 NW Sheridan Rd
Lawton, OK 73505-6501
Phone
(580) 357-7878
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Brad Nelson
Title
Owner
Phone
(405) 260-6080

Specialties & licenses 1

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

Addresses

Primary practice location

309 NW Sheridan Rd
Lawton, OK 73505-6501

Mailing address

309 NW Sheridan Rd
Lawton, OK 73505-6501
Phone (580) 357-7878

National Provider Directory

National Provider Directory

Locations

309 NW Sheridan Rd
Lawton, OK 73505
Phone (580) 357-7878

2616 N Park Ave
Ste 100
Shawnee, OK 74804

Practitioners & affiliated clinicians

Practitioners 5

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": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1689252512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056501",
            "telephone_number": "580-357-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NW SHERIDAN RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056501",
            "telephone_number": "580-357-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON DENTAL AND IMPLANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-260-6080"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.