Active NPI
Dental Designs of Stroud
- General Practice Dentistry
- Stroud, OK
National Provider Identifier
1790798411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3573
- Legal business name
- DENTAL DESIGNS OF STROUD
- Practice address
- 401 W Main
Stroud, OK 74079 - Phone
- (918) 968-1606
- Fax
- (918) 968-1635
- NPI assigned
- Aug 14, 2006
- Last updated
- Aug 22, 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
- Dr. Robert H Melton, DDS
- Title
- Pres
- Phone
- (918) 968-1606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3573 | OK | Primary |
Addresses
Primary practice location
401 W Main
Stroud, OK 74079
Mailing address
PO Box 684
Stroud, OK 74079
Phone (918) 968-1606
National Provider Directory
National Provider Directory- Tax ID family
- Dental Designs of Stroud
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Stroud, OK
- NPI 1366677593
Locations
401 W Main St
Stroud, OK 74079
Phone (918) 968-1606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790798411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 684",
"city": "STROUD",
"state": "OK",
"postal_code": "74079",
"telephone_number": "918-968-1606",
"fax_number": "918-968-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W MAIN",
"city": "STROUD",
"state": "OK",
"postal_code": "74079",
"telephone_number": "918-968-1606",
"fax_number": "918-968-1635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL DESIGNS OF STROUD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MELTON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "918-968-1606",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "3573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stroud, OK
Sources for this page
- 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.