TNT DENTAL SERVICES PLLC (NPI# 1568686749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568686749 |
| Entity Type | Organization |
| Organization Name | TNT DENTAL SERVICES PLLC |
| Other Organization Name | WILLOW HILL DENTAL GROUP |
| Practice Address |
1829 S Wood Drive Okmulgee OK 74447 |
| Practice Telephone | 9187566500 |
| Practice Fax Number | 9187566505 |
| Mailing Telephone | 9187566500 |
| Mailing Fax Number | 9187566505 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHANE JOEL TEWIS (MEMBER OF PLLC) |
| Authorized Official Telephone | 9182897086 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Willow Hill Dental Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447475348 | Tnt Dental Services Pllc | Dentist | 5401 Taylor Drive, Bartlesville, OK 74006 | 2007-04-16 |
| 1073754925 | Tnt Dental Services Pllc | Dentist | 530 Plaza Ct, Sand Springs, OK 74063-7915 | 2009-03-23 |
| Street Address |
1829 S WOOD DRIVE |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| 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 |
|---|---|---|---|---|
| 1730626987 | Spring Dental Okmulgee Pllc | Dentist | 1829 S Wood Dr, Okmulgee, OK 74447-6825 | 2017-01-26 |
| 1649423187 | Dr G Bret Anderson | Dentist | 421 E 5th St, Okmulgee, OK 74447-4042 | 2008-10-28 |
| 1255518759 | Gary Phillip Adolph | Dentist | 112 N Grand Ave, Okmulgee, OK 74447-4027 | 2008-01-28 |
| 1558475392 | Jerry Bob Nick | Dentist | 1015 E 6th St, Okmulgee, OK 74447-4705 | 2006-08-18 |
| 1417967605 | Gerald Brett Anderson | Dentist | 421 E. 5th St., Okmulgee, OK 74447 | 2006-08-09 |
| 1912909334 | Jerry L Thorman | Dentist | 500 E 8th St, Okmulgee, OK 74447-5503 | 2005-08-15 |
| 1780105148 | Braden Callister | Dentist | 1829 S Wood Dr, Okmulgee, OK 74447-6825 | 2017-07-06 |
| 1609137876 | Shane Wesly Cashman | Dentist | 1313 E 20th St, Okmulgee, OK 74447-6303 | 2012-06-05 |
| 1366619447 | K. Tim Mount | Dentist | 216 E 8th St, Okmulgee, OK 74447-4614 | 2008-05-08 |
| 1235251570 | Yaerger Dental | Dentist | 1015 E 6th St, Okmulgee, OK 74447-4705 | 2007-04-06 |
| Find all providers in OKMULGEE | ||||
Please comment or provide details below to improve the information on TNT DENTAL SERVICES PLLC.
| 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.