# MOORE DENTISTRY & BRACES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285100339
- **Authorized official:** DR. BENJAMIN JAMES BOWMAN DDS (DENTIST)
- **Authorized official phone:** (405) 326-8004

## Contact information

- **Practice address:** 1530 SW 119TH ST UNIT 108, OKLAHOMA CITY, OK 73170-4938
- **Practice address phone:** (405) 735-5733
- **Mailing address:** 9060 HARMONY DR STE E, MIDWEST CITY, OK 73130-6253
- **Mailing address phone:** (405) 594-8844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2018
- **Last updated:** 10/11/2021