Christopher Ryan Bugg, D.D.S.

Individual provider Active NPI General Practice Dentistry · Cushing, OK

NPI 1861402372 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861402372
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5628 (OK)
Practice address
601 E Broadway St
Cushing, OK 74023-3432
Phone
(918) 285-5500
Fax
(918) 285-5502
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5628OKMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5628 OK Yes

Addresses

Primary practice location

601 E Broadway St
Cushing, OK 74023-3432

Mailing address

601 E. Broadway St
Cushing, OK 74023-3432
Phone (918) 285-5500

Other providers in Cushing, OK

All providers in Cushing, OK · General Practice Dentistry in Oklahoma

Sources for this page

Verify at the official NPI Registry.