Family Smiles Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5817 Issued in OK

Legal business name

FAMILY SMILES DENTISTRY, PLLC

Practice address

300 N Aspen Ave
Broken Arrow, OK 74012-2205

Phone

(918) 251-3333

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Evan Dale Clothier, D.D.S.NPI 1043261753

Title

Owner

Phone

(918) 251-3333

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.

• Evan Dale Clothier, D.D.S.

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1043261753
  NPD Authorized official
• Taroniar Sevathas, DMD

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1164305322
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710010285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16534 E 49TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741347190",
            "telephone_number": "918-251-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122205",
            "telephone_number": "918-251-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SMILES DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOTHIER",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-251-3333",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty Harrison Faglie, DPT, PT
• Julie Fain Dulin, CCC-SLP
• Nana Fajugbagbe, FNP
• Family Care of Broken Arrow, Inc.
• Family Dentistry of Broken Arrow PC
• Cicely Fanning
• Lora Farrar
• Amie Farris, APRN
• Kailey Lynn Farris
• Kaiden Leigh Fate, MS, CCC-SLP

• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, 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 Aug 22, 2020; 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.