Active NPI
Lawton Adult Dentistry and Braces PLLC
Doing business as Lawton Adult Dentistry and Braces
- General Practice Dentistry
- Lawton, OK
National Provider Identifier
1780286575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LAWTON ADULT DENTISTRY AND BRACES PLLC
- Doing business as
- Lawton Adult Dentistry and Braces
- Practice address
- 4417 W Gore Blvd Ste 10
Lawton, OK 73505-5978 - Phone
- (580) 248-7333
- NPI assigned
- Nov 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faith Gaskins
- Title
- Credentialing Director
- Phone
- (972) 869-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4417 W Gore Blvd Ste 10
Lawton, OK 73505-5978
Mailing address
4417 W Gore Blvd Ste 10
Lawton, OK 73505-5978
Phone (580) 248-7333
Other names 1
- Lawton Adult Dentistry and Braces
National Provider Directory
National Provider DirectoryLocations
4417 W Gore Blvd
Ste 10
Lawton, OK 73505
Phone (580) 248-7333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Lawton, OK
- NPI 1033663711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605484800000",
"number": "1780286575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 W GORE BLVD STE 10",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055978",
"telephone_number": "580-248-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 W GORE BLVD STE 10",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055978",
"telephone_number": "580-248-7333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWTON ADULT DENTISTRY AND BRACES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A",
"authorized_official_last_name": "GASKINS",
"authorized_official_first_name": "FAITH",
"authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
"authorized_official_telephone_number": "972-869-3789"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lawton Adult Dentistry and Braces",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 16, 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.