EAGLE DENTAL CORP INC (NPI# 1235141029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235141029 |
| Entity Type | Organization |
| Organization Name | EAGLE DENTAL CORP INC |
| Other Organization Name | DR STEVE CARSON AND DR MARY MARY MARTIN |
| Practice Address |
6520 East Reno Midwest City OK 73110-2109 |
| Practice Telephone | 4057326821 |
| Practice Fax Number | 4057327970 |
| Mailing Telephone | 4057326821 |
| Mailing Fax Number | 4057327970 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARY E MARTIN (CEO VICE PRESIDENT) |
| Authorized Official Telephone | 4057326821 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 4609 | OK | Dental Providers |
| Y | 122300000X | Dentist | 4594 | OK | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dr Steve Carson and Dr Mary Mary Martin | Former Legal Business Name - Organization |
| Street Address |
6520 EAST RENO |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922452804 | Endodontics and Implant Associates,pllc | Dentist | 1621 Midtown Place, Suite B, Midwest City, OK 73130 | 2016-04-18 |
| 1659706406 | Terri Lynn Brown | Dentist | 6420 Se 15th St, Midwest City, OK 73110-2704 | 2013-09-12 |
| 1730472101 | Spencer Family Dentistry | Dentist | 9060 Harmony Dr Ste D, Midwest City, OK 73130-6253 | 2011-05-18 |
| 1407033137 | Smile Creations, P. C. | Dentist | 6907 W. Boeing Dr, Midwest City, OK 73110 | 2008-01-24 |
| 1588773261 | Garrold Dale Sibel | Dentist | 7219 E Reno Ave, Dale Sibel Dds, Midwest City, OK 73110-4446 | 2006-08-29 |
| 1770691057 | Melanie Darlene Emerson | Dentist | 9321 E Reno, Midwest City, OK 73130 | 2006-08-28 |
| 1205849486 | Michael Dean Hampton | Dentist | 1908 S Post Road, Bldg #2, Midwest City, OK 73130 | 2006-08-15 |
| 1972512507 | Sandra Sue Windsor | Dentist | 1622 S Post Road, Midwest City, OK 73130 | 2006-08-05 |
| 1528091600 | Sandra Windsor Dds Inc | Dentist | 1622 S Post Rd, Midwest City, OK 73130 | 2006-07-09 |
| 1265414239 | Dr Eugene E Flanangan Dds | Dentist | 800 S Douglas Blvd, Midwest City, OK 73130 | 2005-11-16 |
| Find all providers in MIDWEST CITY | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
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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.