Broadway Smiles Pc

LBN: Broadway Smiles Pc
Broadway Smiles Pc is an health care organization with primary practice located at 601 E Broadway St , Cushing OK 74023-3432. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Broadway Smiles Pc can be contacted via phone (918) 285-5500, or through Bugg, Christopher Ryan via phone (918) 285-5500.

Contact Information

Primary practice address
601 E Broadway St Cushing OK 74023-3432
Phone: (918) 285-5500
Fax: (918) 285-5502
Website:
Map and Directions
Authorized official contact:
Name: Bugg, Christopher Ryan Doctor of Dental Surgery (DDS)
Phone: (918) 285-5500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5628 Oklahoma

Profile Details

NPI number 1811161839
LBN Legal business name Broadway Smiles Pc
DBA Doing business as
Authorized official Bugg, Christopher Ryan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811161839 NPPES
Oklahoma MEDICAID 100845810A

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