National Provider Identifier Database

MIDWEST CITY DENTISTRY AND BRACES
Dental


Contact Information

MIDWEST CITY DENTISTRY AND BRACES
829 S AIR DEPOT BLVD
MIDWEST CITY, OK73110
Phone: 405-862-7010
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for MIDWEST CITY DENTISTRY AND BRACES

NPI Number 1376144089
Legal business name
LBN
MIDWEST CITY DENTISTRY AND BRACES
Authorized official BENJAMIN BOWMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/09/2020
Last updated 11/09/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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