Organization Active NPI

Smile Studio of Norman

  • Dentist
  • Norman, OK
National Provider Identifier
1891453536
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE STUDIO OF NORMAN
Practice address
821 24TH Ave NW
Norman, OK 73069-6313
Phone
(405) 321-5823
Fax
(405) 321-6466
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Edward Edward III, DDS
Title
Owner
Phone
(405) 737-5905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

821 24TH Ave NW
Norman, OK 73069-6313

Mailing address

821 24TH Ave NW
Norman, OK 73069-6313
Phone (405) 321-5823

National Provider Directory

National Provider Directory

Locations

821 24th Ave NW
Norman, OK 73069
Phone (405) 321-5823

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1891453536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696313",
            "telephone_number": "405-321-5823",
            "fax_number": "405-321-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696313",
            "telephone_number": "405-321-5823",
            "fax_number": "405-321-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO OF NORMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "EDWARD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-737-5905",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.