NPIMap

Organization Active NPI

Dental Solutions LLC

  • General Practice Dentistry
  • Enid, OK
National Provider Identifier
1750555355
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5731 Issued in OK
Legal business name
DENTAL SOLUTIONS LLC
Practice address
615 E Oklahoma Ave Ste 103
Enid, OK 73701-5952
Phone
(580) 233-1717
Fax
(580) 233-1719
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Bobby E Moore, D.D.S.NPI 1659456085
Title
Owner
Phone
(580) 233-1717

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5731 OK Primary

Addresses

Primary practice location

615 E Oklahoma Ave Ste 103
Enid, OK 73701-5952

Mailing address

615 E Oklahoma Ave Ste 103
Enid, OK 73701-5952
Phone (580) 233-1717

National Provider Directory

National Provider Directory

Locations

615 E Oklahoma Ave
Ste 103
Enid, OK 73701
Phone (580) 233-1717

Practitioners & affiliated clinicians

Practitioners 1

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1750555355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE STE 103",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015952",
            "telephone_number": "580-233-1717",
            "fax_number": "580-233-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE STE 103",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015952",
            "telephone_number": "580-233-1717",
            "fax_number": "580-233-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-233-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.