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SOUTHRIDGE DENTAL ARTS PLLC
NPI 1174007736
Dentist - General Practice in Oklahoma City, OK

Active since September 19, 2018
8383 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159(405) 474-6362 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southridge Dental Arts Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHRIDGE DENTAL ARTS PLLC (NPI 1174007736) is a healthcare organization registered as a general practice in Oklahoma City, Oklahoma and active in the NPI registry since September 2018. The organization lists Joshua Brasher, Owner, as its authorized official.

NPPES Registry Identity

NPI1174007736
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHRIDGE DENTAL ARTS PLLC
Location Address8383 S PENNSYLVANIA AVEOklahoma City, OK 73159-5249
Mailing Address3901 E Covell RdEdmond, OK 73034-6909 · (405) 474-6362
Phone(405) 474-6362
Organization SubpartNo
Authorized OfficialJoshua BrasherOwner · (405) 474-6362
Enumeration DateSeptember 19, 2018
✔ NPI 1174007736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
8383 S PENNSYLVANIA AVE, Oklahoma City, OK 73159
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHILLIP ELASSAL DDS
Dentist
8383 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 682-8705
MR. FREDERIC CHARLES GOLDSMITH DR.
Dentist (General Practice)
8383 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 682-8705
KEYTON SCHMULT DDS
Dentist
8383 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 682-8705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southridge Dental Arts PLLC's NPI number?

The NPI number for Southridge Dental Arts PLLC is 1174007736. It was assigned to this organization in the NPPES registry on September 19, 2018.

Where is Southridge Dental Arts PLLC located?

Southridge Dental Arts PLLC is located at 8383 S Pennsylvania Ave, Oklahoma City, OK 73159. The listed phone number is (405) 474-6362.

What is Southridge Dental Arts PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Southridge Dental Arts PLLC was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.