MIDWEST CITY DENTISTRY AND BRACES; NPI #1376144089

Contact Information

MIDWEST CITY DENTISTRY AND BRACES

829 S AIR DEPOT BLVD
MIDWEST CITY, OK 73110

Phone: 405-862-7010
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for MIDWEST CITY DENTISTRY AND BRACES

NPI Number	`1376144089`
LBN Legal business name	MIDWEST CITY DENTISTRY AND BRACES
Authorized official	BENJAMIN BOWMAN - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/09/2020
Last updated	11/09/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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