DR. JESSE D STORTS, JR. (NPI# 1326256843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326256843 |
| Entity Type | Individual |
| Full Name | DR. JESSE D STORTS, JR. |
| Credential | D.D.S. |
| Practice Address |
615 N Commerce St Ardmore OK 73401-3942 |
| Practice Telephone | 5802236720 |
| Practice Fax Number | 5802236724 |
| Mailing Telephone | 5802236720 |
| Mailing Fax Number | 5802236724 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4633 | OK | Dental Providers |
| Street Address |
615 N COMMERCE ST |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508187501 | Proactive Enterprises LLC | Clinic/Center | 615 N Commerce St, Suite E, Ardmore, OK 73401-3942 | 2010-06-14 |
| 1386963312 | Lee Michael Grant | Chiropractor | 615 N Commerce St, Suite E, Ardmore, OK 73401-3942 | 2010-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| 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 |
|---|---|---|---|---|
| 1154851392 | Joseph Solomon Treanor | Dentist | 1610 Walnut Dr, Ardmore, OK 73401-2331 | 2017-06-19 |
| 1427406370 | Manali Deshpande | Dentist | 2704 Saint Marys Road, Ardmore, PA 19003-2004 | 2016-06-01 |
| 1144667643 | Joshua Kuykendall | Dentist | 2401 12th Ave Nw, Ardmore, OK 73401-1470 | 2013-05-24 |
| 1699941559 | Barton Timothy Barrett | Dentist | 27001 Main St, Ardmore, TN 38449-3183 | 2008-05-01 |
| 1427251925 | John C Pagana | Dentist | 213 Greenfield Ave, Ardmore, PA 19003-1205 | 2007-06-11 |
| 1639202468 | Albert C Caywood Dds Inc | Dentist | 1015 15th Ave Nw, Ardmore, OK 73401-1810 | 2007-03-13 |
| 1093871659 | Francis Manuel Montemayor | Dentist | 115 M St Sw, Ardmore, OK 73401-3102 | 2006-12-28 |
| 1447328349 | Pediatric Dental Associates PC | Dentist | 1103 Walnut Drive, Pediatric Dental Associates PC, Ardmore, OK 73401 | 2006-12-01 |
| 1881773836 | Jeffrey Allen Bellisario | Dentist | 636 Wynnewood Rd, Ardmore, PA 19003-2626 | 2006-11-02 |
| 1780778951 | Storts and Sudberry Pllc | Dentist | 615 N Commerce, Ardmore, OK 73401 | 2006-10-03 |
| Find all providers in ARDMORE | ||||
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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.