# CHOCTAW DENTAL PLLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699049114
- **Authorized official:** BENJAMIN BOWMAN (DENTIST/PRESIDENT)
- **Authorized official phone:** (405) 326-8004

## Contact information

- **Practice address:** 14310 DALE STERNS DR, CHOCTAW, OK 73020
- **Practice address phone:** (405) 281-5800
- **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 |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6276 | OK | Yes |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 04/29/2021