Ponca City Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PONCA CITY DENTAL GROUP PLLC

Practice address

1216 E Hartford Ave Ste 1a
Ponca City, OK 74601-2059

Phone

(405) 474-6362

NPI assigned

Feb 13, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua Brasher, DDS

Title

Dentist

Phone

(405) 474-6362

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1891328274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E HARTFORD AVE STE 1A",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012059",
            "telephone_number": "405-474-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E HARTFORD AVE STE 1A",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012059",
            "telephone_number": "405-474-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCA CITY DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-474-6362",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Dawn Phillips, MS, LPC
• Physicians Urgent Care Center, Inc.
• Amie Elaine Pickard, MCP
• Paul Bradley Plowman, M.D.
• Pamela J Poland, M.D.
• Ponca City Home Care Services, LLC
• Ponca City Homecare Services Inc
• Ponca City Homecare Services Inc.
• Ponca City Immediate Care, LLC
• Ponca City Open MRI, LLC

• General Practice Dentistry in Ponca City, OK
• Providers in Ponca City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.