DR. ERIC JANKOWSKI (NPI# 1225252919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225252919 |
| Entity Type | Individual |
| Full Name | DR. ERIC JANKOWSKI |
| Credential | DDS |
| Practice Address |
504 Forest Ridge Dr Tahlequah OK 74464-4191 |
| Practice Telephone | 9184310138 |
| Mailing Telephone | 9184310138 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2009-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00007834 | WA | Dental Providers |
| Street Address |
504 FOREST RIDGE DR |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021343 | Xixi Wu | Dentist | 1201 N Stonewall Ave # 524d, Oklahoma City, OK 73117-1214 | 2020-07-23 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1851713747 | Maria Fernanda Santos Peres | Dentist | 1201 N Stonewall Ave Rm 542, Oklahoma City, OK 73117-1214 | 2014-01-10 |
| 1609142827 | Board of Regents of Ok - Col of Dentistry Grad Perodontics | Dentist | 1201 N Stonewall Ave Rm Dcs253, Oklahoma City, OK 73117-1214 | 2012-04-02 |
| 1669614137 | Ryan James Lanman | Dentist | 3621 Nw 63rd St Ste I, Oklahoma City, OK 73116-2041 | 2009-03-30 |
| 1770627044 | Robin D Henderson | Dentist | 9112 N. May Ave, Okla. City, OK 73120 | 2007-02-19 |
| 1487711081 | Glen Conrad Hornbuckle | Dentist | 8203 S Walker Ave, Okla City, OK 73139-9451 | 2007-01-02 |
| 1538235775 | Ray Anand Beddoe | Dentist | 2619 S Elm Pl, Suite A, Broken Arrow, OK 74012-7878 | 2006-11-28 |
| 1144232455 | Edwin E Sutherland II | Dentist | 1605 S Sangre Rd, Stillwater, OK 74074-1847 | 2006-08-13 |
| 1326054156 | Vaught, Burchard & Assoc. Inc | Dentist | 2902 S Pittsburg Ave, Tulsa, OK 74114-6133 | 2006-08-01 |
| 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.