# STILLWATER DENTISTRY & BRACES

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

## Provider details

- **NPI number:** 1962924100
- **Authorized official:** BENJAMIN JAMES BOWMAN DDS (MANAGER)
- **Authorized official phone:** (405) 326-8004

## Contact information

- **Practice address:** 316 N MAIN ST STE 1, STILLWATER, OK 74075
- **Practice address phone:** (405) 372-7474
- **Practice address fax:** (405) 372-7429
- **Mailing address:** 316 N MAIN ST STE 1, STILLWATER, OK 74075-5548
- **Mailing address phone:** (405) 372-7474
- **Mailing address fax:** (405) 372-7429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6076 | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2017
- **Last updated:** 07/21/2022