Active NPI
Lawton Dental Group PLLC
- General Practice Dentistry
- Lawton, OK
National Provider Identifier
1871090548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6256
- Legal business name
- LAWTON DENTAL GROUP PLLC
- Practice address
- 916 SW 38TH St Ste B
Lawton, OK 73505-7005 - Phone
- (580) 355-3551
- NPI assigned
- Apr 10, 2018
- Last updated
- Apr 10, 2018
- 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. Joshua V Brasher, DDS
- Title
- Sole MBR
- Phone
- (405) 474-6362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6256 | OK | Primary |
Addresses
Primary practice location
916 SW 38TH St Ste B
Lawton, OK 73505-7005
Mailing address
916 SW 38TH St Ste B
Lawton, OK 73505-7005
Phone (580) 355-3551
National Provider Directory
National Provider DirectoryLocations
916 SW 38th St
Ste B
Lawton, OK 73505
Phone (580) 355-3551
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Lawton, OK
- NPI 1538256292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523318400000",
"number": "1871090548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 SW 38TH ST STE B",
"city": "LAWTON",
"state": "OK",
"postal_code": "735057005",
"telephone_number": "580-355-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 SW 38TH ST STE B",
"city": "LAWTON",
"state": "OK",
"postal_code": "735057005",
"telephone_number": "580-355-3551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWTON DENTAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A",
"authorized_official_last_name": "BRASHER",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "405-474-6362",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.