# NORMAN DENTISTRY & BRACES

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

## Provider details

- **NPI number:** 1417361205
- **Authorized official:** TIM MCNAMARA DDS (DOCTOR)
- **Authorized official phone:** (405) 321-6564

## Contact information

- **Practice address:** 515 S UNIVERSITY BLVD, NORMAN, OK 73069-5719
- **Practice address phone:** (405) 321-6564
- **Mailing address:** 515 SOUTH UNIVERSITY BOULDEVARD, NORMAN, OK 73069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6595 | OK | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 06/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1891108247 | NPPES | OK |