DR. ROBERT BRIAN MOLLOY (NPI# 1619162054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619162054 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BRIAN MOLLOY |
| Credential | D.D.S |
| Practice Address |
9801 S Pennsylvania Ave Oklahoma City OK 73159-6925 |
| Practice Telephone | 4056921222 |
| Practice Fax Number | 4057030930 |
| Mailing Telephone | 4056921222 |
| Mailing Fax Number | 4057030930 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2013-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5436 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA HEALTHCARE AUTHO | 100126100B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295881431 | Robert George Molloy | Counselor | 2400 Claremont Dr, Falls Church, VA 22043-3050 | 2007-01-27 |
| 1043287717 | Robert Michael Molloy | Internal Medicine | 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226-3442 | 2006-03-02 |
| 1104840933 | Robert Molloy | Orthopaedic Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-07-26 |
| 1790719003 | Robert Molloy | Anesthesiology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-07-10 |
| Street Address |
9801 S PENNSYLVANIA AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-6925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124365317 | William Todd Dupler, Crna, LLC | Nurse Anesthetist, Certified Registered | 9801 S Pennsylvania Ave, Oklahoma City, OK 73159-6925 | 2013-01-09 |
| 1679831663 | Pdaa, Inc. | Clinic/Center | 9801 S Pennsylvania Ave, Oklahoma City, OK 73159-6925 | 2012-04-26 |
| 1396972212 | Hyung Phil Jun | Dentist | 9801 S Pennsylvania Ave, Oklahoma City, OK 73159-6925 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932684297 | Jemima Poitevien, D.d.s., P.l.l.c. | Dentist | 4225 W Memorial Rd Ste 101-b, Oklahoma City, OK 73134-1761 | 2018-10-02 |
| 1093062911 | Pediatric Dental Partners Pllc | Dentist | 5940 Nw Expressway Ste 200, Oklahoma City, OK 73132-5101 | 2012-08-09 |
| 1508023383 | Thai-an Doan D.d.s. P.C. | Dentist | 11318 N May Ave, Suite B, Oklahoma City, OK 73120-5860 | 2008-05-20 |
| 1467574004 | Smiling Faces Pediatric Dentistry Inc | Dentist | 5222 N. Portland, Oklahoma City, OK 73112 | 2007-04-04 |
| 1760521934 | Elizabeth Kellner | Dentist | 828 Sw 66th St, Oklahoma City, OK 73139-4213 | 2007-02-05 |
| 1194828558 | Thai-an Doan | Dentist | 14228 Barbour Ave, Oklahoma City, OK 73134 | 2006-09-07 |
| 1780618330 | Andrew Cleveland Guthrie | Dentist | 3616 Nw 50th St, Oklahoma City, OK 73112-5642 | 2006-07-10 |
| 1558318493 | Donald Wood Haskins | Dentist | 5222 N Portland Ave, Oklahoma City, OR 73112 | 2006-05-27 |
| 1720063225 | William G Bozalis | Dentist | 3613 Nw 56th, Suite 105 Three Corporate Plaza, Oklahoma City, OK 73112 | 2005-12-07 |
| 1164410551 | Brent Warren Moody | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 | 2005-10-10 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
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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.