DENTAL DEPOT OF 36TH & TECUMSEH, PLLC (NPI# 1508363771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508363771 |
| Entity Type | Organization |
| Organization Name | DENTAL DEPOT OF 36TH & TECUMSEH, PLLC |
| Practice Address |
3401 W. Tecumseh Rd. Norman OK 73072 |
| Mailing Address |
1920 N Drexel Blvd Oklahoma City OK 73107-3925 |
| Practice Telephone | 4053090123 |
| Practice Fax Number | 4052679202 |
| Mailing Telephone | 4059458941 |
| Mailing Fax Number | 4059458959 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | GLENN ALLAN ASHMORE (PRESIDENT) |
| Authorized Official Telephone | 4059458941 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
3401 W. TECUMSEH RD. |
| City | NORMAN |
| State | OK |
| Zip Code | 73072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| 1750787529 | Kimberly Rhodes | Case Manager/Care Coordinator | 3710 Reid Pryor Rd, Norman, OK 73072 | 2014-11-06 |
| Find all providers in zip 73072 | ||||
| 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 |
|---|---|---|---|---|
| 1063062859 | Ryan Fitzgerald | Dentist | 4409 Green View Cir, Norman, OK 73072-3141 | 2019-09-13 |
| 1619534674 | Andrew Wheatley, Dds Pllc | Dentist | 3924 W Tecumseh Rd, Norman, OK 73072-1707 | 2019-05-24 |
| 1831756220 | Catherine Marie Lee | Dentist | 1408 Teakwood Dr, Norman, OK 73071-2093 | 2019-05-22 |
| 1578036562 | 2j Dental Edge of Norman Pllc | Dentist | 2400 12th Ave Ne Ste 140, Norman, OK 73071-6841 | 2019-01-02 |
| 1316348261 | Sleep Diagnostics Inc | Dentist | 448 36th Ave Nw Ste 102, Norman, OK 73072-4743 | 2014-09-10 |
| 1609214113 | David Williams | Dentist | 3834 Bellwood Dr, Norman, OK 73072-3621 | 2013-06-06 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| 1316259955 | Michael Colt Behrmann | Dentist | 729 Humming Fish Dr, Norman, OK 73069-7577 | 2010-07-12 |
| 1972839413 | John Sinclair | Dentist | 2001 W Lindsey St, Norman, OK 73069-4105 | 2009-10-18 |
| 1477780294 | Braden Hofman Stoltenberg | Dentist | 707 24th Ave Sw Ste 201, Norman, OK 73069-3957 | 2009-06-19 |
| Find all providers in NORMAN | ||||
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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.