Dermatology
RESTORE DERMATOLOGY CLINIC LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1336002302 · enumerated 2025-12-06 · record updated 2025-12-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JESSICA GRAVES PA-C, Sole Member · (539) 281-3101
Addresses and phones
- Mailing address 4700 W URBANA ST STE 100, BROKEN ARROW, OK, 74012-5520 (539) 281-3101 Google Maps Apple Maps OpenStreetMap
- Practice location 4700 W URBANA ST STE 100, BROKEN ARROW, OK, 74012-5520 (539) 281-3101 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
-
Practice location
BROKEN ARROW, OK, 740125520
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.