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BLUE RIVER SMILES PLLC
NPI 1760069520
Dentist - General Practice in Tishomingo, OK

Active since March 26, 2021
1202 E MAIN ST, TISHOMINGO, OK 73460(580) 371-2396 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue River Smiles Pllc NPPES

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

BLUE RIVER SMILES PLLC (NPI 1760069520) is a healthcare organization registered as a general practice in Tishomingo, Oklahoma and active in the NPI registry since March 2021. The organization lists Joshua Brasher, President, as its authorized official.

NPPES Registry Identity

NPI1760069520
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLUE RIVER SMILES PLLC
Location Address1202 E MAIN STTishomingo, OK 73460-2409
Mailing Address3901 E Covell RdEdmond, OK 73034-6909 · (405) 359-0808
Phone(580) 371-2396
Organization SubpartNo
Authorized OfficialJoshua BrasherPresident · (405) 474-6362
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1760069520 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.
1202 E MAIN ST, Tishomingo, OK 73460
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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. RON AUSTIN DDS
Dentist
1202 E MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2396
RON AUSTIN, DDS, INC
Dentist
1202 E MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2396
AUSTIN WILLIAM BRASHER
Dentist
1202 E MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2396

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 Blue River Smiles PLLC's NPI number?

The NPI number for Blue River Smiles PLLC is 1760069520. It was assigned to this organization in the NPPES registry on March 26, 2021.

Where is Blue River Smiles PLLC located?

Blue River Smiles PLLC is located at 1202 E Main St, Tishomingo, OK 73460. The listed phone number is (580) 371-2396.

What is Blue River Smiles PLLC's specialty?

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

What insurance does Blue River Smiles PLLC accept?

Health plans from UnitedHealthcare list Blue River Smiles 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 Blue River Smiles PLLC was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.