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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LARS OLAV BOUMA, DDS, MS

Active Sole Proprietor

DR. LARS OLAV BOUMA, DDS, MS is a General Dentistry healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1588658470 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · OKLAHOMA CITY, OK

Registration Details

NPI Number
1588658470
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2005 (20.906214398309 yrs)
Last Updated
Sep 11, 2025
Licenses
PROSTHODONTICS 30 (OK)
18073 (TX)
Sole Proprietor
Yes

Practice Information

Address
4517 MEMORIAL CIR
OKLAHOMA CITY, OK, 731425004
Browse OK providers · Browse ZIP 73142
Phone
4057557777
Fax
4057557169
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in OKLAHOMA CITY, OK

Name Credential NPI
GEORGE J. WULFEKOTTE JR. D.D.S. 1295737104
DR. DAVID A. SIMON DDS 1144222027
DR. LLOYD KENNETH NOBLE JR. D.D.S. 1265434161
DR. DONALD WAYNE SWEARINGEN D.D.S. 1649272220
EARL WM. MILLER D.D.S. 1750383428
DR. BERNARD C RHONE D.D.S. 1679565832
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.