OrganizationActive
Enid Dentistry & Braces
NPI 1780105122 · Dental Clinic/Center · Enid, OK
Provider details
- NPI number
- 1780105122
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Benjamin Bowman, Manager
- License
- 6076 (OK)
Practice location
5202 W Owen K Garriott Rd Ste a
Enid, OK 73703-4611
Phone: (580) 242-5862
Mailing address
5202 W Owen K Garriott Rd Ste a
Enid, OK 73703-4611
Registry dates
- Enumerated
- 2017-07-06
- Last updated
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.