# BRUSH DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovations Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063899771
- **Authorized official:** DR. HUNTER JAKE HANUS D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (918) 366-9500

## Contact information

- **Practice address:** 14617 S MEMORIAL DR, BIXBY, OK 74008-3767
- **Practice address phone:** (918) 366-9500
- **Mailing address:** 14617 S MEMORIAL DR, BIXBY, OK 74008-3767
- **Mailing address phone:** (918) 366-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6589 | OK | Yes |

## Other

- **Enumeration date:** 05/01/2015
- **Last updated:** 05/01/2015