Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lars Olav Bouma, DDS, MS

Individual provider Prosthodontics · NPI 1588658470

Dr. Lars Olav Bouma, DDS, MS is a Prosthodontics in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma and Texas.

Licensed in
OK, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

4517 Memorial Cir
Oklahoma City, OK 73142-5004
Phone: (405) 755-7777
Fax: (405) 755-7169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 18073 (TX)
Prosthodontics Taxonomy 1223P0700X · Licence PROSTHODONTICS 30 (OK)

Record details

NPI number1588658470
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedSeptember 7, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address4604 Nw 161st St, Edmond, OK 73013-3250

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