Organization Active NPI

First Flight Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Edmond, OK
National Provider Identifier
1720909534
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FIRST FLIGHT PEDIATRIC DENTISTRY PLLC
Practice address
423 N Bryant Ave
Edmond, OK 73034-3207
Phone
(405) 265-6659
Fax
(405) 265-6658
NPI assigned
Jul 25, 2026
Last updated
Jul 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Authorized official

Name
Dr. Michael A Bogran, DDSNPI 1356073837
Title
Managing Member
Phone
(918) 289-3569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

423 N Bryant Ave
Edmond, OK 73034-3207

Mailing address

423 N Bryant Ave
Edmond, OK 73034-3207
Phone (405) 265-6659

National Provider Directory

National Provider Directory

Locations

423 N Bryant Ave
Edmond, OK 73034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1784937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784937600000",
    "number": "1720909534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343207",
            "telephone_number": "405-265-6659",
            "fax_number": "405-265-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343207",
            "telephone_number": "405-265-6659",
            "fax_number": "405-265-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FLIGHT PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-25",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "BOGRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-289-3569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.