OrganizationActive
Shattuck Dentistry & Braces
NPI 1114449394 · Dentist · Shattuck, OK
Shattuck Dentistry & Braces is a Dentist organization in Shattuck, OK (NPI 1114449394).
Provider details
- NPI number
- 1114449394
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Benjamin Bowman, Manager(405) 326-8004
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1523 S Main St
Shattuck, OK 73858-9223
Phone: (580) 938-2566
Fax: (580) 938-2567
Approximate (ZIP-level) locationGet directions
Mailing address
1523 S. Main
Shattuck, OK 73858
Registry dates
- Enumerated
- 2017-07-10
- Last updated
- 2020-10-29
- Certified
- 2020-10-29
Frequently asked questions
- What is Shattuck Dentistry & Braces's NPI number?
- Shattuck Dentistry & Braces's National Provider Identifier (NPI) is 1114449394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shattuck Dentistry & Braces?
- Shattuck Dentistry & Braces is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Shattuck Dentistry & Braces located?
- Shattuck Dentistry & Braces's practice location on file with NPPES is 1523 S Main St, Shattuck, OK 73858-9223.
- What is Shattuck Dentistry & Braces's phone number?
- The practice phone number listed in the NPPES registry for Shattuck Dentistry & Braces is (580) 938-2566.
- Who is the authorized official for Shattuck Dentistry & Braces?
- The authorized official listed on Shattuck Dentistry & Braces's NPPES record is Benjamin Bowman, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shattuck Dentistry & Braces's NPI active?
- Yes — Shattuck Dentistry & Braces's NPI (1114449394) is active in the NPPES registry as of the last update on 2020-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.