Provider Demographics
NPI:1033592423
Name:BEHRMANN ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:BEHRMANN ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:COLT
Authorized Official - Last Name:BEHRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-364-4608
Mailing Address - Street 1:2500 MCGEE DR STE 121
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6705
Mailing Address - Country:US
Mailing Address - Phone:405-364-4608
Mailing Address - Fax:
Practice Address - Street 1:2500 MCGEE DR STE 121
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-6705
Practice Address - Country:US
Practice Address - Phone:405-364-4608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHODONTIC SPECIALISTS OF OKLAHOMA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK60971223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty