OrganizationActive
Bwdentistry
NPI 1770691990 · General Practice Dentistry · Sallisaw, OK
Provider details
- NPI number
- 1770691990
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Robert Wells, President(918) 775-3201
- License
- 4740 (OK)
Specialties & taxonomies
Dental Providers
Practice location
200 E Choctaw Ave
Sallisaw, OK 74955-4604
Phone: (918) 775-3201
Fax: (918) 775-3394
Approximate (ZIP-level) locationGet directions
Mailing address
200 E Choctaw Ave
Sallisaw, OK 74955-4604
Registry dates
- Enumerated
- 2006-08-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.