SearchOklahoma1223S0112X

Kipley Powell, DDS

NPI 1205450319 · on the registry since 2020

Practice

Address
4716 W Urbana St Ste 100
Broken Arrow, OK 74012
Phone
(918) 449-5800
Fax
(918) 449-5800
Organisation at this address
Golden Medical Services
D. Todd Johnson Dds, Pc
Breatheamerica Tulsa, Llc
Ent And Sinus Solutions Llc
Small Group Anesthesia Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 12802 E 101st Pl N, Owasso, OK
  • 1331 S York St, Muskogee, OK

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
204E00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma