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Choctaw Dental PLLC — NPI 1699049114, Choctaw, OK | NPI Central

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NPI 1699049114

OrganizationActive

Choctaw Dental PLLC

NPI 1699049114 · Dentist · Choctaw, OK

Provider details

NPI number: 1699049114
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Benjamin Bowman, Dentist/President(405) 326-8004
License: 6276 (OK)

Specialties & taxonomies

DentistPrimary122300000XLicense 6276 (OK)
Dental Providers

Practice location

14310 Dale Sterns Dr

Choctaw, OK 73020

Phone: (405) 281-5800

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

9060 Harmony Dr Ste E

Midwest City, OK 73130-6253

Registry dates

Enumerated: 2012-03-01
Last updated: 2021-04-29
Certified: 2021-04-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.