Broken Bow Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BROKEN BOW DENTISTRY PLLC

Doing business as

Broken Bow Dentistry

Practice address

400 Main St
Broken Bow, OK 74728-2982

Phone

(580) 584-3321

NPI assigned

Jan 4, 2022

Last updated

Jun 21, 2023By 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

Keith Bartlett, DDS

Title

Manager

Phone

(580) 584-3321

Specialties & licenses 1

Addresses

Other names 1

• Broken Bow Dentistry Doing business as

Practitioners 2

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.

• Erin Janine Bartlett, DDS

  • General Practice Dentistry
  • Broken Bow, OK
  • NPI 1265954713
  NPD
• Owen Bradley Hearne, D.D.S.

  • General Practice Dentistry
  • Broken Bow, OK
  • NPI 1386658904
  NPD (past)

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1811658685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747282982",
            "telephone_number": "580-584-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747282982",
            "telephone_number": "580-584-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN BOW DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-584-3321",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broken Bow Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Black Oak Clinic LLC
• Megan Elizabeth Black, APRN, C-NP
• Tonya Joy Boles, PAC
• Jade Chantelle Box, BHRS
• Brighter Heights Oklahoma, LLC (Brighter Heights Oklahoma)
• Broken Bow Health and Rehab LLC
• Brumley Counseling
• Cindy Brumley, MBS, LPC, LADC
• Kaitlin Brumley
• Kristen Seianna Bruton

• Dental Clinic/Center in Broken Bow, OK
• Providers in Broken Bow, 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 Jun 21, 2023; 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.