BROKEN BOW DENTISTRY
NPI 1811658685
Clinic/Center - Dental in Broken Bow, OK

Active since January 04, 2022
400 MAIN ST, BROKEN BOW, OK 74728(580) 584-3321 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2023, Jan 4, 2022 (2 updates tracked since 2022).

About Broken Bow Dentistry NPPES

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

BROKEN BOW DENTISTRY (NPI 1811658685) is a healthcare organization registered as a dental in Broken Bow, Oklahoma and active in the NPI registry since January 2022. The organization lists Keith Bartlett, Manager, as its authorized official.

NPPES Registry Identity

NPI1811658685
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBROKEN BOW DENTISTRY PLLC
Location Address400 MAIN STBroken Bow, OK 74728-2982
Mailing Address400 Main StBroken Bow, OK 74728-2982 · (580) 584-3321
Organization SubpartNo
Authorized OfficialKeith BartlettManager · (580) 584-3321
Enumeration DateJanuary 4, 2022
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1811658685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
400 MAIN ST, Broken Bow, OK 74728

Other Names 1

Doing Business AsBroken Bow Dentistry

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.

Dentist (General Practice)
400 MAIN ST
BROKEN BOW, OK 74728
Dentist (General Practice)
400 MAIN ST
BROKEN BOW, OK 74728
Dentist (General Practice)
400 MAIN ST
BROKEN BOW, OK 74728

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 Broken Bow Dentistry PLLC's NPI number?

The NPI number for Broken Bow Dentistry PLLC is 1811658685. It was assigned to this organization in the NPPES registry on January 4, 2022. The provider is doing business as Broken Bow Dentistry.

Where is Broken Bow Dentistry PLLC located?

Broken Bow Dentistry PLLC is located at 400 Main St, Broken Bow, OK 74728. The listed phone number is (580) 584-3321.

What is Broken Bow Dentistry PLLC'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 Broken Bow Dentistry PLLC was last updated on June 21, 2023. 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.