Kingfisher Dental PLLC
Organization Active NPI General Practice Dentistry · Kingfisher, OK
NPI 1982967618 · NPPES record last updated Jun 18, 2012
Key facts
- NPI
- 1982967618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6076 (OK)
- Legal business name
- KINGFISHER DENTAL PLLC
- Practice address
- 2302 Frontage Rd
Kingfisher, OK 73750-4810 - Phone
- (405) 375-5855
- Fax
- (405) 375-5863
- NPI assigned
- Jun 18, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Benjamin James Bowman, DDS
- Title
- Owner
- Phone
- (405) 375-5855
Practitioners 1
National Provider Directory
Locations
2302 Frontage Rd
Kingfisher, OK 73750
Phone (405) 375-5855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 6076 | OK | Yes |
Addresses
Primary practice location
2302 Frontage Rd
Kingfisher, OK 73750-4810
Mailing address
2302 Frontage Rd
Kingfisher, OK 73750-4810
Phone (405) 375-5855
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200208490A | Medicaid | OK |
Other providers in Kingfisher, OK
- Jamie Jones-Scammahorn
- Melissa C Jones
- Bridget A. Keast
- Rise Lynne Kester
- Kingfisher Clinic PLLC
- Kingfisher Dental PLLC
- Kingfisher Eye Clinic Inc
- Kingfisher Family Eyecare
- Kingfisher Pharmacy Management PLLC
- Kingfisher Public School
All providers in Kingfisher, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.