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SUDBERRY DENTAL
NPI 1962798595
Dentist - General Practice in Ardmore, OK

Active since June 22, 2011
1520 N COMMERCE ST STE A, ARDMORE, OK 73401(580) 226-1515(580) 226-1516 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sudberry Dental NPPES

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

SUDBERRY DENTAL (NPI 1962798595) is a healthcare organization registered as a general practice in Ardmore, Oklahoma and active in the NPI registry since June 2011. The organization lists Thomas Blake Sudberry, Dentiist, as its authorized official.

NPPES Registry Identity

NPI1962798595
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSUDBERRY DENTAL
Location Address1520 N COMMERCE ST STE AArdmore, OK 73401-1858
Mailing Address1520 N Commerce St Ste AArdmore, OK 73401-1858 · (580) 226-1515 · Fax (580) 226-1516
Phone(580) 226-1515
Fax(580) 226-1516
Organization SubpartNo
Authorized OfficialThomas Blake SudberryDentiist · (580) 226-1515
Enumeration DateJune 22, 2011
✔ NPI 1962798595 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 · 5443
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.
1520 N COMMERCE ST STE A, Ardmore, OK 73401
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Other Identifiers 1

Medicaid1801081534OK

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

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 Sudberry Dental's NPI number?

The NPI number for Sudberry Dental is 1962798595. It was assigned to this organization in the NPPES registry on June 22, 2011.

Where is Sudberry Dental located?

Sudberry Dental is located at 1520 N Commerce St Ste A, Ardmore, OK 73401. The listed phone number is (580) 226-1515.

What is Sudberry Dental'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 Sudberry Dental was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.