BOOMER FAMILY DENTISTRY, PLLC
NPI 1407252117
Dentist - General Practice in Norman, OK

Active since November 06, 2014
801 24TH AVE NW, NORMAN, OK 73069(405) 360-9117 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boomer Family Dentistry, Pllc NPPES

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

BOOMER FAMILY DENTISTRY, PLLC (NPI 1407252117) is a healthcare organization registered as a general practice in Norman, Oklahoma and active in the NPI registry since November 2014. The organization lists Patti Klein, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407252117
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOOMER FAMILY DENTISTRY, PLLC
Location Address801 24TH AVE NWNorman, OK 73069-6313
Mailing Address801 24th Ave NwNorman, OK 73069-6313 · (405) 360-9117
Organization SubpartNo
Authorized OfficialPatti KleinOffice Manager · (405) 360-9117
Enumeration DateNovember 6, 2014
NPI 1407252117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 5906
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.
801 24TH AVE NW, Norman, OK 73069

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
801 24TH AVE NW
NORMAN, OK 73069

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 Boomer Family Dentistry, PLLC's NPI number?

The NPI number for Boomer Family Dentistry, PLLC is 1407252117. It was assigned to this organization in the NPPES registry on November 6, 2014.

Where is Boomer Family Dentistry, PLLC located?

Boomer Family Dentistry, PLLC is located at 801 24th Ave NW, Norman, OK 73069. The listed phone number is (405) 360-9117.

What is Boomer Family Dentistry, PLLC's specialty?

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

What insurance does Boomer Family Dentistry, PLLC accept?

Health plans from UnitedHealthcare list Boomer Family Dentistry, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boomer Family Dentistry, PLLC was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.