MARTHA L GARZON DMD, MS (NPI# 1104091479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104091479 |
| Entity Type | Organization |
| Organization Name | MARTHA L GARZON DMD, MS |
| Practice Address |
609 S Kelly Ave Ste C1 Edmond OK 73003-5743 |
| Practice Telephone | 4053485757 |
| Practice Fax Number | 4053488221 |
| Mailing Telephone | 4053485757 |
| Mailing Fax Number | 4053488221 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | DR. MARTHA GARZON (DMD, MS) |
| Authorized Official Telephone | 4053485757 |
| Authorized Official Credential | DMD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5504 | OK | Dental Providers |
| Street Address |
609 S KELLY AVE STE C1 |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-5743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275057887 | Bobby D. Cheatham,d.d.s.,pc | Dentist | 2800 N Kelly Ave Ste 200, Edmond, OK 73003-3004 | 2017-07-26 |
| 1235419409 | Edmond Pediatric and Teen Dentistry | Dentist | 3824 S. Boulevard, Suite 110, Edmond, OK 73013 | 2011-08-19 |
| 1376691709 | Martha Leonor Garzon | Dentist | 870 S Kelly Ave, Edmond, OK 73003-5641 | 2007-01-08 |
| 1497813596 | Robert Carl Steele | Dentist | 169 E 33rd, Edmond, OK 73013-4602 | 2006-12-04 |
| 1588741714 | James Neill Murtaugh | Dentist | 905 Ridgecrest Rd, Edmond, OK 73013-6104 | 2006-11-01 |
| 1568567493 | Bobby Don Cheatham | Dentist | 2800 North Kelly Avenue, 200, Edmond, OK 73003-3004 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042990 | Karnish Pediatric Dentistry | Dentist | 1414 N Kennedy Ave Ste 101, Shawnee, OK 74801-4761 | 2020-04-22 |
| 1932684297 | Jemima Poitevien, D.d.s., P.l.l.c. | Dentist | 4225 W Memorial Rd Ste 101-b, Oklahoma City, OK 73134-1761 | 2018-10-02 |
| 1760864235 | Pediatric Dental Group II, LLC | Dentist | 7715 E 91st St Ste A, Tulsa, OK 74133-6060 | 2015-06-22 |
| 1093062911 | Pediatric Dental Partners Pllc | Dentist | 5940 Nw Expressway Ste 200, Oklahoma City, OK 73132-5101 | 2012-08-09 |
| 1508023383 | Thai-an Doan D.d.s. P.C. | Dentist | 11318 N May Ave, Suite B, Oklahoma City, OK 73120-5860 | 2008-05-20 |
| 1881868719 | Jeffrey J. Ahlert, D.d.s., P.l.l.c. | Dentist | 3614 Se Kentucky St, Bartlesville, OK 74006-2323 | 2008-04-22 |
| 1194900555 | Chanda A. Kennemer, Dds, PC | Dentist | 1405 S Sangre Rd, Stillwater, OK 74074-1832 | 2008-01-04 |
| 1619162054 | Robert Brian Molloy | Dentist | 9801 S Pennsylvania Ave, Oklahoma City, OK 73159-6925 | 2007-09-10 |
| 1447467410 | Johnny Starkey Dds, PC | Dentist | 4404 West Houston Street, Broken Arrow, OK 74012 | 2007-05-17 |
| 1477766475 | Chanda Ann Kennemer | Dentist | 1405 South Sangre Rd, Stillwater, OK 74074 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
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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.