Absolute Smiles Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5944 Issued in OK

Legal business name

ABSOLUTE SMILES FAMILY DENTISTRY

Practice address

4800 E. Hwy. 37
Tuttle, OK 73089

Phone

(405) 381-0900

Fax

(405) 381-0902

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brian G. Chastain, DDSNPI 1629275714

Title

Owner

Phone

(405) 381-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brian Gene Chastain, DDS

  • Dentist
  • Tuttle, OK
  • NPI 1629275714
  NPD (past) Authorized official

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1962702555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 E. HWY. 37",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "73089",
            "telephone_number": "405-381-0900",
            "fax_number": "405-381-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 E. HWY. 37",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "73089",
            "telephone_number": "405-381-0900",
            "fax_number": "405-381-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-381-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200115890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Absolute Smiles Family Dentistry
• Baker Consulting Services Group, LLC
• Sarah Maria Baker, M.S. CCC-SLP
• Audra Suzanne Ball, PAC
• Alexis Barnes, DPT
• Donna D Bowers, PA-C

• General Practice Dentistry in Tuttle, OK
• Providers in Tuttle, 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 Oct 28, 2010; 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.