Organization · Type 2 NPI

313 PLLC

General Practice Dentistry · Broken Arrow, OK

NPI number 1356928519 Active

Practice location

101 E Albany St Ste 101
Broken Arrow, OK 74012-8987

Call (918) 393-0070 Map

Fax (918) 380-0727

Other practice locations

210 S Main St Ste 201, Broken Arrow, OK 74012-4179 · (918) 698-9807

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

Teighlor Danielle Juricek, DDSGeneral Practice Dentistry Broken Arrow, OK NPI 1811626856

Other general practice dentistry providers in Broken Arrow

See all in Broken Arrow →

NPI record

NPI: 1356928519
Entity type: Organization (Type 2)
Issued: Mar 25, 2021
Last updated: Aug 1, 2022
Status: Active

Other names

<unavail>
Breathe Modern Dentistry · doing business as
Breathe Modern Dentistry · doing business as

Authorized official

Mr. Jordon C Smith, DDS
Dentist/owner
(918) 698-9807

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356928519

313 PLLC's National Provider Identifier is 1356928519, issued on Mar 25, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 1, 2022.