ENID DENTISTRY & BRACES
NPI 1780105122
Clinic/Center - Dental in Enid, OK

Active since July 06, 2017
5202 W OWEN K GARRIOTT RD STE A, ENID, OK 73703(580) 242-5862 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2023, Oct 29, 2020, Jul 6, 2017 (3 updates tracked since 2017).

About Enid Dentistry & Braces NPPES

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

ENID DENTISTRY & BRACES (NPI 1780105122) is a healthcare organization registered as a dental in Enid, Oklahoma and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Enid and lists Benjamin James Bowman, Manager, as its authorized official.

NPPES Registry Identity

NPI1780105122
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameENID DENTISTRY & BRACES
Location Address5202 W OWEN K GARRIOTT RD STE AEnid, OK 73703-4611
Mailing Address5202 W Owen K Garriott Rd Ste AEnid, OK 73703-4611 · (580) 242-5862
Organization SubpartNo
Authorized OfficialBenjamin James BowmanManager · (405) 326-8004
Enumeration DateJuly 6, 2017
Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
NPI 1780105122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in OK · 6076
5202 W OWEN K GARRIOTT RD STE A, Enid, OK 73703

Secondary Practice Location 1

Location 1402 S Oakwood Rd Ste DEnid, OK 73703-4945 · Phone (580) 242-5862

Other Identifiers 1

Medicaid1205032935OK

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
5202 W OWEN K GARRIOTT RD STE A
ENID, OK 73703
Dentist (General Practice)
5202 W OWEN K GARRIOTT RD STE A
ENID, OK 73703

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 Enid Dentistry & Braces's NPI number?

The NPI number for Enid Dentistry & Braces is 1780105122. It was assigned to this organization in the NPPES registry on July 6, 2017.

Where is Enid Dentistry & Braces located?

Enid Dentistry & Braces is located at 5202 W Owen K Garriott Rd Ste A, Enid, OK 73703. The listed phone number is (580) 242-5862.

What is Enid Dentistry & Braces's specialty?

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

What insurance does Enid Dentistry & Braces accept?

Health plans from UnitedHealthcare list Enid Dentistry & Braces 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 Enid Dentistry & Braces was last updated on December 4, 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.