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Bryan E Bonnet DDS PC Inc

Bryan E Bonnet DDS PC Inc is a healthcare organization registered as Dental Clinic/Center in Glenpool, OK, holding Type 2 (organization) NPI 1356067474 since 2022. The authorized official on file is Bryan Bonnet, Owner/Dentist.

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NPI 1356067474
Entity type Organization (Type 2)
Legal business name Bryan E Bonnet DDS PC Inc
Practice address 12195 S YUKON AVE, Glenpool, OK, 74033
Phone 9183229445
Enumeration date 2022-10-19
Last updated in NPPES 2022-10-19

Authorized official

Name Bryan Bonnet
Title Owner/Dentist
Phone 9183226445

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QD0000X Dental Clinic/Center Primary

Other identifiers

Identifier Type State Issuer
100255520A Medicaid OK
Copy-ready billing details
Provider: Bryan E Bonnet DDS PC Inc
NPI: 1356067474
Taxonomy: 261QD0000X (Dental Clinic/Center)
Address: 12195 S YUKON AVE, Glenpool, OK, 74033

Providers at this address

NPI Name Type Specialty Location
1144217985 Bryan Bonnet Individual General Practice Dentistry Glenpool, OK

Verify this record

Cross-check NPI 1356067474 against the authoritative CMS record: view Bryan E Bonnet DDS PC Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Bryan E Bonnet DDS PC Inc?
The NPI for Bryan E Bonnet DDS PC Inc is 1356067474, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bryan E Bonnet DDS PC Inc?
NPPES lists Bryan Bonnet (Owner/Dentist) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-10-19.