Easy Dental Solutions IV

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EASY DENTAL SOLUTIONS IV

Practice address

1100 N Mustang Rd
Mustang, OK 73064-7201

Phone

(405) 376-6565

Fax

(405) 376-2443

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Bobby Long

Title

Director of Business Operations

Phone

(405) 376-6565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1962865949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S PENNSYLVANIA AVE",
            "address_2": "SUITE M 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596923",
            "telephone_number": "405-796-8012",
            "fax_number": "405-378-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647201",
            "telephone_number": "405-376-6565",
            "fax_number": "405-376-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY DENTAL SOLUTIONS IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "405-376-6565"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Driskill
• Morshayla Dumas
• Esperanza Eileen Duncan, APRN
• Daleen Lewellen Dupler, CMT
• Alyssa Duran
• Brittaney Eckert
• Bryce Edington
• Celeste Elder
• Elias Cardiovascular Disease PLLC
• Epk, LLC

• General Practice Dentistry in Mustang, OK
• Providers in Mustang, 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 Mar 29, 2016; 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.