Bradford Dyer Overton, DDS

General Practice Dentistry · Broken Arrow, OK

Individual Active NPI

NPI number 1629084587

Practice location

817 S Elm Pl
Suite 102
Broken Arrow, OK 74012-5369
Phone
(918) 258-2323
Fax
(918) 258-0425

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NPI record

NPI
1629084587
Entity type
Individual (Type 1)
Enumeration date
July 31, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4551 OK

About Dr. Overton

Bradford Dyer Overton, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 817 S Elm Pl, Suite 102, Broken Arrow, OK 74012-5369. The NPI number 1629084587 was assigned on July 31, 2006 and the record was last updated on July 8, 2007.

Dr. Overton lists a license in the registry: #4551 (OK) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradford Dyer Overton, DDS?

The NPI number is 1629084587.

What is the phone number of Dr. Overton?

The phone number listed for the practice location is (918) 258-2323.

Where is Dr. Overton located?

817 S Elm Pl, Suite 102, Broken Arrow, OK 74012-5369.

What is the taxonomy code for Dr. Overton?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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