# BETHANY DENTAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethany Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265984066
- **Authorized official:** JOSHUA BRASHER DDS (OWNER/MANAGER)
- **Authorized official phone:** (405) 474-6362

## Contact information

- **Practice address:** 6301 NW 23RD ST, BETHANY, OK 73008-5931
- **Practice address phone:** (405) 474-6362
- **Mailing address:** 6301 NW 23RD ST, BETHANY, OK 73008-5931
- **Mailing address phone:** (405) 474-6362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6256 | OK | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016