# CORWIN FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1598980583
- **Authorized official:** JAMES OWEN CORWIN DDS (PRESIDENT)
- **Authorized official phone:** (918) 367-3290

## Contact information

- **Practice address:** 221 E 7TH AVE, BRISTOW, OK 74010-2503
- **Practice address phone:** (918) 367-3290
- **Mailing address:** 221 E 7TH AVE, BRISTOW, OK 74010-2503
- **Mailing address phone:** (918) 367-3290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4993 | OK | Yes |
| 122300000X | Dentist | 5011 | OK | — |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020