Chickasha Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHICKASHA DENTAL GROUP PLLC

Practice address

823 W Chickasha Ave
Chickasha, OK 73018-2307

Phone

(405) 224-1727

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Brandi Ann Williams

Title

Clinical Director

Phone

(405) 250-2255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1922578384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346909",
            "telephone_number": "405-224-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W CHICKASHA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182307",
            "telephone_number": "405-224-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKASHA DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "405-250-2255"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurelia Kate Chaney
• Bethanie Chaney
• Keely Chapman
• Chateau de South Corporation
• Chickasha Clinic Pharmacy LLC
• Chickasha Hearing Aid Center
• Chickasha Hospitalist Services PLLC
• Chickasha Nursing Center Inc.
• Chickasha Opportunity Center, Inc.
• Chickasha Physical Therapy Clinic

• General Practice Dentistry in Chickasha, OK
• Providers in Chickasha, 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 Nov 28, 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.

Verify at the official NPI Registry.