1. Home
  2. Directory
  3. Oklahoma
  4. Clinton
  5. Dentist
  6. NPI Profile

CLINTON DENTAL GROUP PLLC
NPI 1558139345
Dentist - General Practice in Clinton, OK

Active since December 12, 2023
810 W GARY BLVD, CLINTON, OK 73601(580) 323-0763 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinton Dental Group Pllc NPPES

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

CLINTON DENTAL GROUP PLLC (NPI 1558139345) is a healthcare organization registered as a general practice in Clinton, Oklahoma and active in the NPI registry since December 2023. The organization lists Joshua Brasher, Member, as its authorized official.

NPPES Registry Identity

NPI1558139345
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLINTON DENTAL GROUP PLLC
Location Address810 W GARY BLVDClinton, OK 73601-2720
Mailing Address810 W Gary BlvdClinton, OK 73601-2720 · (580) 323-0763
Phone(580) 323-0763
Organization SubpartNo
Authorized OfficialJoshua BrasherMember · (405) 250-2255
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1558139345 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.
810 W GARY BLVD, Clinton, OK 73601
Open in Google Maps ↗

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. DEVIN SEVIANO MORALES DDS
Dentist (General Practice)
810 W GARY BLVD
CLINTON, OK 73601
Custer County (580) 323-0763
KYLE L. SERFOSS, DDS, PLLC
Dentist (General Practice)
810 W GARY BLVD
CLINTON, OK 73601
Custer County (580) 323-0763
DR. KYLE LANDON SERFOSS D.D.S.
Dentist (General Practice)
810 W GARY BLVD
CLINTON, OK 73601
Custer County (580) 323-0763

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 Clinton Dental Group PLLC's NPI number?

The NPI number for Clinton Dental Group PLLC is 1558139345. It was assigned to this organization in the NPPES registry on December 12, 2023.

Where is Clinton Dental Group PLLC located?

Clinton Dental Group PLLC is located at 810 W Gary Blvd, Clinton, OK 73601. The listed phone number is (580) 323-0763.

What is Clinton Dental Group 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 Clinton Dental Group PLLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.