Restore Dermatology Clinic LLC
Restore Dermatology Clinic LLC provides Dermatology Physician services in Broken Arrow, Oklahoma. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4700 W Urbana St Ste 100Broken Arrow, OK 74012-5520
Phone: (539) 281-3101
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1336002302 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Graves — Sole Member · (539) 281-3101 |
| NPI enumerated | December 6, 2025 |
| Last updated in NPPES | December 17, 2025 |
| Certification date | December 17, 2025 |
| Mailing address | 4700 W Urbana St Ste 100, Broken Arrow, OK 74012-5520 |
Other providers in Broken Arrow
-
Dr. Janelle Marshall Pavlis, MD
800 W Boise Cir Ste 400, Broken Arrow, OK 74012 · (918) 307-0215
-
Southside Dermatology PLLC
3300 S Aspen Ave Ste A, Broken Arrow, OK 74012-7501 · (918) 760-0700