Shattuck Dentistry & Braces

NPI #1114449394 in Shattuck, Oklahoma

Provider Information

NPI Number: 1114449394
Entity Type: Organization
Organization Name: Shattuck Dentistry & Braces
Primary Specialty: Dentist
Enumeration Date: Jul 10, 2017
Last Updated: Oct 29, 2020

Practice Location

Address: 1523 S MAIN ST
City: Shattuck
State: Oklahoma
ZIP Code: 73858-9223
Phone: (580) 938-2566

Authorized Official

Name: DR. BENJAMIN JAMES BOWMAN, DDS
Title: MANAGER
Phone: (405) 326-8004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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