LONE GROVE DENTISTRY & BRACES (NPI# 1063051795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063051795 |
Entity Type | Organization |
Organization Name | LONE GROVE DENTISTRY & BRACES |
Practice Address |
16931 Us Highway 70 Lone Grove OK 73443-6523 |
Practice Telephone | 5806573117 |
Enumeration Date | 2019-12-28 |
Last Update Date | 2020-08-25 |
Authorized Official Name | BENJAMIN JAMES BOWMAN (OWNER) |
Authorized Official Telephone | 4053755855 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
16931 US HIGHWAY 70 |
City | LONE GROVE |
State | OK |
Zip Code | 73443-6523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174014609 | Soul Purpose Dba Lone Grove Chiropractic Clinic | Chiropractor | 16982 Highway 70, Lone Grove, OK 73443 | 2018-05-21 |
1407085624 | Zane Michael Weaver | Dentist | 16931 U.S. Highway 70, Lone Grove, OK 73443 | 2009-07-09 |
1316143506 | Laura Bruce | Counselor | 103 W Willow, Lone Grove, OK 73443 | 2007-06-25 |
1497959217 | Anthony Dewayne Leming | Chiropractor | Hwy 70 W., Lone Grove, OK 73443 | 2007-06-14 |
1679799308 | Ellis Health Center, Inc. | Chiropractor | 243 Heritage St, Lone Grove, OK 73443 | 2007-04-18 |
1346397999 | Leah D'ann Rother | Pharmacist | 16662 Us Highway 70, Lone Grove, OK 73443 | 2007-01-05 |
1598822934 | Lone Grove Drug | Pharmacy | 16662 Us Hwy 70, Lone Grove, OK 73443-1019 | 2007-01-03 |
1538151295 | John L Delano | Pharmacist | 16662 U.S. Hwy 70, Lone Grove, OK 73443-1019 | 2005-08-18 |
1548427776 | Michael D Weaver Dds PC | Dentist | 16931 Us Hwy 70, Lone Grove, OK 73443-1270 | 2008-05-16 |
1104978428 | Michael Don Weaver | Dentist | 16931 Hwy 70, Lone Grove, OK 73443-1270 | 2007-01-17 |
Find all providers in zip 73443 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609474758 | Sand Springs Dentistry and Braces | Clinic/Center | 152 W. Alexander Blvd, Ste E, Sand Springs, OK 74063 | 2020-10-12 |
1831796580 | Perry Smiles LLC | Clinic/Center | 505 N 14th St Ste B, Perry, OK 73077-5000 | 2020-10-06 |
1518578095 | Summer Dental Midwest City, Pllc | Clinic/Center | 1900 S Air Depot Blvd Ste 1, Midwest City, OK 73110-5522 | 2020-08-10 |
1922626639 | Dental Lodge of Purcell | Clinic/Center | 1929 S Green Ave, Purcell, OK 73080-6203 | 2020-07-09 |
1821616533 | Enhance Dental of Norman | Clinic/Center | 1049 12th Ave Ne # 100, Norman, OK 73071-5312 | 2020-07-09 |
1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
1265052062 | Ada Dentistry and Braces | Clinic/Center | 931 Arlington St Ste 3, Ada, OK 74820-4025 | 2020-04-21 |
1225657133 | Impressions Dental of Harrah | Clinic/Center | 20926 Se 29th St Ste A, Harrah, OK 73045-6610 | 2020-04-10 |
Find all providers with the same taxonomy |
City | LONE GROVE |
Zip Code | 73443 |
Please comment or provide details below to improve the information on LONE GROVE DENTISTRY & BRACES.
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.