# PIEDMONT DENTISTRY & BRACES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwood Dentistry and Braces
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720600174
- **Authorized official:** BENJAMIN BOWMAN (OWNER)
- **Authorized official phone:** (405) 326-8004

## Contact information

- **Practice address:** 12000 NW EXPRESSWAY STE E, YUKON, OK 73099-8980
- **Practice address phone:** (405) 928-9982
- **Mailing address:** 12000 NW EXPRESSWAY, YUKON, OK 73099

## Taxonomy

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

## Other

- **Enumeration date:** 05/08/2020
- **Last updated:** 04/26/2021
