Sulphur Dentistry & Braces

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SULPHUR DENTISTRY & BRACES

Practice address

2611 W Broadway Ave
Sulphur, OK 73086-6518

Phone

(580) 622-6655

NPI assigned

May 15, 2018

Last updated

Jan 14, 2021By 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. Benjamin James Bowman, DDS

Title

Owner

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Michael Moon, DDS

  • General Practice Dentistry
  • Sulphur, OK
  • NPI 1336871995
  NPD
• Michael Ahlborn, DDS

  • Dentist
  • Sulphur, OK
  • NPI 1477044410
  NPD (past)
• Margaret A Coker, D.D.S

  • General Practice Dentistry
  • Sulphur, OK
  • NPI 1679516553
  NPD (past)
• Nathan John Pulsipher, DDS

  • Dentist
  • Bolivar, MO
  • NPI 1619594868
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1730679606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730866518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730866518",
            "telephone_number": "580-622-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULPHUR DENTISTRY & BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-326-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Oklahoma Family Services, Inc.
• Southern Oklahoma Eye Center LLC
• Southern Oklahoma Treatment Services (OK Behavioral Health)
• State of Oklahoma (Sulphur Veterans Center)
• Sulphur Clinic Inc.
• Sulphur Manor Inc (Callaway Nursing Home)
• Sulphur Public School
• Shaun E Swartz II
• Tessa Todd
• Teresa Truelock

• Dental Clinic/Center in Sulphur, OK
• Providers in Sulphur, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.