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BRYAN E BONNET DDS PC INC
NPI 1356067474
Clinic/Center - Dental in Glenpool, OK

Active since October 19, 2022
12195 S YUKON AVE, GLENPOOL, OK 74033(918) 322-9445 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bryan E Bonnet Dds Pc Inc NPPES

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

BRYAN E BONNET DDS PC INC (NPI 1356067474) is a healthcare organization registered as a dental in Glenpool, Oklahoma and active in the NPI registry since October 2022. The organization lists Bryan E Bonnet, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1356067474
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRYAN E BONNET DDS PC INC
Location Address12195 S YUKON AVEGlenpool, OK 74033-6621
Mailing Address12195 S Yukon AveGlenpool, OK 74033-6621 · (918) 322-9445
Phone(918) 322-9445
Organization SubpartNo
Authorized OfficialBryan E BonnetOwner/dentist · (918) 322-6445
Enumeration DateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
✔ NPI 1356067474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12195 S YUKON AVE, Glenpool, OK 74033
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Other Identifiers 1

Medicaid100255520AOK

Other Providers at the Same Location NPPES

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

DR. BRYAN EDWARD BONNET DDS
Dentist (General Practice)
12195 S YUKON AVE
GLENPOOL, OK 74033
Tulsa County (918) 322-9445

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 Bryan E Bonnet Dds PC Inc's NPI number?

The NPI number for Bryan E Bonnet Dds PC Inc is 1356067474. It was assigned to this organization in the NPPES registry on October 19, 2022.

Where is Bryan E Bonnet Dds PC Inc located?

Bryan E Bonnet Dds PC Inc is located at 12195 S Yukon Ave, Glenpool, OK 74033. The listed phone number is (918) 322-9445.

What is Bryan E Bonnet Dds PC Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bryan E Bonnet Dds PC Inc was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.