JERRY D MCCAN DDS (NPI# 1265691695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265691695 |
| Entity Type | Organization |
| Organization Name | JERRY D MCCAN DDS |
| Practice Address |
7 Cedar Springs Drive Tuttle OK 73089-7929 |
| Practice Telephone | 4053812303 |
| Practice Fax Number | 4053812304 |
| Mailing Telephone | 4053812303 |
| Mailing Fax Number | 4053812304 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | DR. JERRY D MCCAN (OWNER) |
| Authorized Official Telephone | 4053812303 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4124 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100106100B | 05 |
| Street Address |
7 CEDAR SPRINGS DRIVE |
| City | TUTTLE |
| State | OK |
| Zip Code | 73089-7929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124455795 | Tuttle Public Schools 26-i 097 | Local Education Agency (LEA) | 515 E. Main St., Tuttle, OK 73089 | 2013-09-27 |
| 1629275714 | Brian Gene Chastain | Dentist | 4800 E. Hwy. 37, Tuttle, OK 73089 | 2007-07-02 |
| 1073619383 | Dura-med Solutions LLC | Durable Medical Equipment & Medical Supplies | 7516 E Highway 37, Tuttle, OK 73089 | 2006-09-15 |
| 1225031826 | City of Tuttle | Emergency Medical Technician, Intermediate | 4 Se 2nd St., Tuttle, OK 73089 | 2005-05-27 |
| 1174911416 | Tammy Stone | Speech-Language Pathologist | 515 E. Main St., Tuttle, OK 73089 | 2015-01-08 |
| 1962702555 | Absolute Smiles Family Dentistry | Dentist | 4800 E. Hwy. 37, Tuttle, OK 73089 | 2010-10-28 |
| 1528373867 | Absolute Smiles Family Dentistry | Exclusive Provider Organization | 4800 E. Hwy. 37, Tuttle, OK 73089 | 2010-08-11 |
| 1922355189 | Empowering Life Therapy, Pllc | Occupational Therapist | 783 County Street 2981, Tuttle, OK 73089-1109 | 2012-08-07 |
| 1568706216 | Kelly Lange Torrez | Counselor | 919 County Street 2934, Tuttle, OK 73089-2433 | 2012-11-19 |
| 1083246169 | Samantha J Rumley | Nurse Practitioner | 2401 County Road 1196, Tuttle, OK 73089-2436 | 2020-02-06 |
| Find all providers in zip 73089 | ||||
| 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 |
|---|---|---|---|---|
| 1003843103 | Jerry D Mccan X | Dentist | 7 Cedar Springs Dr, Tuttle, OK 73089-7929 | 2006-06-26 |
| 1962702555 | Absolute Smiles Family Dentistry | Dentist | 4800 E. Hwy. 37, Tuttle, OK 73089 | 2010-10-28 |
| 1932118288 | Robert John Morgan Jr. | Dentist | 7 Cedar Springs Dr, Tuttle, OK 73089-7929 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1679183420 | Dentists of Moore and Orthodontics | Dentist | 740 Sw 19th St Ste C, Moore, OK 73160-3062 | 2020-08-06 |
| 1770192635 | Joseph Ghazal | Dentist | 1520 S Main St # 1, Blackwell, OK 74631-4921 | 2020-07-27 |
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1679190953 | Harmon Denture Clinic LLC | Dentist | 104 E Mcelroy Rd Ste 4, Stillwater, OK 74075-3803 | 2020-07-02 |
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1053937854 | Nathan Sethman | Dentist | 1410 N Louis Tittle Ave, Mangum, OK 73554-2218 | 2020-06-18 |
| 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.