Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shattuck Dentistry & Braces

Organization Dentist · NPI 1114449394

Shattuck Dentistry & Braces is a Dentist in Shattuck, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1523 S Main St
Shattuck, OK 73858-9223
Phone: (580) 938-2566
Fax: (580) 938-2567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1114449394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Bowman — Manager · (405) 326-8004
NPI enumeratedJuly 10, 2017
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020
Mailing address1523 S. Main, Shattuck, OK 73858

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