Provider Demographics
NPI:1316259955
Name:BEHRMANN, MICHAEL COLT (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:COLT
Last Name:BEHRMANN
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 HUMMING FISH DR.
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-7577
Mailing Address - Country:US
Mailing Address - Phone:405-708-9748
Mailing Address - Fax:
Practice Address - Street 1:729 HUMMING FISH DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7577
Practice Address - Country:US
Practice Address - Phone:405-708-9748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6097122300000X
OK1871223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist