OKC DENTAL HEALTH ASSOCIATES, P.C. (NPI# 1003236969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003236969 |
| Entity Type | Organization |
| Organization Name | OKC DENTAL HEALTH ASSOCIATES, P.C. |
| Other Organization Name | PEBBLE CREEK DENTAL |
| Practice Address |
1041 E. Hwy 152 Mustang OK 73064 |
| Practice Telephone | 4052560037 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2016-10-06 |
| Authorized Official Name | BRETT DETERS (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408921 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEARTLAND DENTAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Pebble Creek Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245650829 | Okc Dental Health Associates, P.C. | Dentist | 1011 E Taft Ave, Sapulpa, OK 74066-5730 | 2014-04-22 |
| 1457771032 | Okc Dental Health Associates, P.C. | Dentist | 3451 W Kenosha St, Broken Arrow, OK 74012-8949 | 2014-04-22 |
| 1093135675 | Okc Dental Health Associates, P.C. | Dentist | 12106 S Memorial Dr, Bixby, OK 74008-2508 | 2014-04-22 |
| 1982024840 | Okc Dental Health Associates, P.C. | Dentist | 9072 W Highway 70, Durant, OK 74701-6513 | 2014-04-18 |
| 1154741023 | Okc Dental Health Associates, P.C. | Dentist | 3201 W Broadway St, Muskogee, OK 74401-2132 | 2014-04-18 |
| 1942620885 | Okc Dental Health Associates, P.C. | Dentist | 1900 S Air Depot Blvd, Suite 1, Midwest City, OK 73110-5522 | 2014-04-18 |
| 1942620893 | Okc Dental Health Associates, P.C. | Dentist | 1430 Lonnie Abbott Blvd, Ada, OK 74820-1851 | 2014-04-18 |
| 1013337955 | Okc Dental Health Associates, P.C. | Dentist | 14221 N Pennsylvania Ave, Suite C, Oklahoma City, OK 73134-6096 | 2014-04-18 |
| 1750701603 | Okc Dental Health Associates, P.C. | Dentist | 2401 12th Ave Nw Ste 103, Ardmore, OK 73401-1471 | 2014-04-18 |
| 1821418831 | Okc Dental Health Associates, P.C. | Dentist | 2111 Nw Cache Rd, Lawton, OK 73505-5213 | 2014-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKC DENTAL HEALTH ASSOCIATES, P.C. | 2111 Nw Cache Rd, Lawton, OK 73505-5213 |
| Street Address |
1041 E. HWY 152 |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962822494 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1386901502 | John M Ketcher LLC | Optometrist | 1108 E. Hwy 152, Mustang, OK 73064 | 2012-04-12 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| 1780996538 | Brandi M Schmit | Specialist | 2026 E Hwy 152, 103, Mustang, OK 73064 | 2010-07-09 |
| Find all providers in zip 73064 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097077 | Matthew J Muir | Dentist | 1001 E State Highway 152 Ste 113, Mustang, OK 73064-5131 | 2020-06-11 |
| 1902276025 | Mustang Family Dental | Dentist | 1444 N Mustang Rd, Mustang, OK 73064-7214 | 2015-10-01 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1689858698 | Dds Dental PC | Dentist | 210 N. Mustang Road, Mustang, OK 73064 | 2007-12-27 |
| 1043294887 | Doug Riggs | Dentist | 210 N Mustang Rd, Mustang, OK 73064-3911 | 2005-12-05 |
| 1891787057 | Kristi L Cobb | Dentist | 1108 N Mustang Rd, Mustang, OK 73064-1428 | 2005-08-15 |
| 1205838026 | John R. Ainsworth | Dentist | 500 N Financial Ter, Ste. D, Mustang, OK 73064-4432 | 2005-08-11 |
| 1184248544 | Mason Ross Davis | Dentist | 1108 N Mustang Rd, Mustang, OK 73064-7220 | 2020-06-02 |
| 1962865949 | Easy Dental Solutions Iv | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2016-03-29 |
| 1255561791 | Leisha V. Everett,dds,pc | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2009-07-17 |
| Find all providers in MUSTANG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.