# BROKEN ARROW ENDODONTICS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BROKEN ARROW ENDODONTICS
- **Other names:** Broken Arrow Endodontics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124219274
- **Legal business name:** BROKEN ARROW ENDODONTICS
- **Authorized official:** EVE G STRAND (OFFICE MANAGER)
- **Authorized official phone:** (918) 615-3600

## Contact information

- **Practice address:** 4420 W HOUSTON ST, BROKEN ARROW, OK 74012-4645
- **Practice address phone:** (918) 615-3600
- **Practice address fax:** (918) 615-3601
- **Mailing address:** 4420 W HOUSTON ST, BROKEN ARROW, OK 74012-4645
- **Mailing address phone:** (918) 615-3600
- **Mailing address fax:** (918) 615-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 47 | OK | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 10/27/2020
