OKC DENTAL (NPI# 1598126799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598126799 |
| Entity Type | Organization |
| Organization Name | OKC DENTAL |
| Other Organization Name | ABC DENTAL |
| Practice Address |
309 Sw 59th St. Ste 105 Oklahoma City OK 73109 |
| Mailing Address |
400 Riverwalk Terrace Ste 250 Jenks OK 74037-5619 |
| Practice Telephone | 9188956568 |
| Mailing Telephone | 9189980996 |
| Mailing Fax Number | 9182359079 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | RENEE MCBAY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9189980996 |
| 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 |
|---|---|
| ABC Dental | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKC DENTAL HEALTH ASSOCIATES, P.C. | 2111 Nw Cache Rd, Lawton, OK 73505-5213 |
| Street Address |
309 SW 59TH ST. STE 105 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336444884 | Bilingual Pediatric Therapies | Speech-Language Pathologist | 309 Sw 59th St., Suite 305, Oklahoma City, OK 73109-8324 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| 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 |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1255960399 | Graden Trumble | Dentist | 1201 N Stonewall Ave Rm 452, Oklahoma City, OK 73117-1214 | 2020-04-01 |
| 1790322543 | Easy Dental South Pllc | Dentist | 10001 S Penn Ave Ste 22, Oklahoma City, OK 73159-6923 | 2019-11-27 |
| 1922643543 | Dental Boutique Pllc | Dentist | 3621 Nw 63rd St Ste C, Oklahoma City, OK 73116-2041 | 2019-11-07 |
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1326556242 | Steve Huy Truong, Dds, Pllc | Dentist | 16 Ne 2nd St Ste B, Oklahoma City, OK 73104-2210 | 2018-01-12 |
| 1326576497 | Noel Robert Williams Jr. | Dentist | 1325 N Walker Ave Apt 204, Oklahoma City, OK 73103-6414 | 2017-06-01 |
| 1790213486 | Ty Allen Mays Jr. | Dentist | 25 N Rockwell Ave, Oklahoma City, OK 73127-6112 | 2017-05-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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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.