DAVID J HARRELL DDS INC (NPI# 1073616074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073616074 |
| Entity Type | Organization |
| Organization Name | DAVID J HARRELL DDS INC |
| Practice Address |
4417 West Gore Blvd Suite 10 Lawton OK 73505 |
| Practice Telephone | 5802487333 |
| Practice Fax Number | 5802487365 |
| Mailing Telephone | 5802487333 |
| Mailing Fax Number | 5802487365 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID J HARRELL (PRESIDENT) |
| Authorized Official Telephone | 5802487333 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4111 | OK | Dental Providers |
| Street Address |
4417 WEST GORE BLVD SUITE 10 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| 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 |
|---|---|---|---|---|
| 1871090548 | Lawton Dental Group Pllc | Dentist | 916 Sw 38th St Ste B, Lawton, OK 73505-7005 | 2018-04-10 |
| 1063880441 | Kassidy E Legako | Dentist | 6707 Nw Oak Dale Dr, Lawton, OK 73505-1261 | 2015-09-02 |
| 1821418831 | Okc Dental Health Associates, P.C. | Dentist | 2111 Nw Cache Rd, Lawton, OK 73505-5213 | 2014-04-17 |
| 1285873000 | Erin J Howard | Dentist | 29 Nw Lakewood Dr, Lawton, OK 73505-3737 | 2009-02-18 |
| 1457519779 | David J. Harrell | Dentist | 4417 W Gore Blvd Ste 10, Lawton, OK 73505-5978 | 2008-05-23 |
| 1003002916 | James Bernerd Clevering | Dentist | 415 W Gore Blvd, Lawton, OK 73501-3710 | 2007-09-25 |
| 1770638439 | Ernest E. Sheppard | Dentist | 4206 Sw Lee Blvd, Lawton, OK 73505-8331 | 2007-01-24 |
| 1295894004 | Brett Randal Warn | Dentist | 502 Nw Sheridan Rd Ste 5, Lawton, OK 73505-6505 | 2006-12-07 |
| 1740379643 | Robert Edward Muller Jr. | Dentist | 1301 Nw 63rd St, Lawton, OK 73505-4355 | 2006-10-11 |
| 1144328998 | James Beauford Lutz | Dentist | 60 N Sheridan, Ste 7, Lawton, OK 73505 | 2006-09-20 |
| Find all providers in LAWTON | ||||
Please comment or provide details below to improve the information on DAVID J HARRELL DDS INC.
| 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.