CUSTOM DENTAL OF ATOKA PLLC (NPI# 1730319211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730319211 |
| Entity Type | Organization |
| Organization Name | CUSTOM DENTAL OF ATOKA PLLC |
| Practice Address |
1306 W. Liberty Road Atoka OK 74525-6063 |
| Mailing Address |
2001 S Division St Guthrie OK 73044-6063 |
| Practice Telephone | 4052826440 |
| Practice Fax Number | 4052826785 |
| Mailing Telephone | 4052826440 |
| Mailing Fax Number | 4052826785 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |
| Authorized Official Name | MATHEW D HOOKOM (DENTIST) |
| Authorized Official Telephone | 4052826440 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6105 | OK | Dental Providers |
| Street Address |
1306 W. LIBERTY ROAD |
| City | ATOKA |
| State | OK |
| Zip Code | 74525-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383493 | Brandi Genita Neese | Peer Specialist | 1097.2 S Farris Rd, Atoka, OK 74525 | 2019-12-19 |
| 1043739717 | Crystal Gossett | Student in an Organized Health Care Education/Training Program | 1680 S Greathouse Drive, Atoka, OK 74525 | 2017-09-14 |
| 1124544580 | Regina Pfaff | Student in an Organized Health Care Education/Training Program | 1680 S. Greathouse Drive, Atoka, OK 74525 | 2017-08-17 |
| 1730533860 | Wild Horse Counseling Service, LLC | Community/Behavioral Health | 1088 S Gin Rd., Atoka, OK 74525 | 2016-04-14 |
| 1740651801 | Aleisha Williams | Counselor | 101 S. Jefferson Hwy, Atoka, OK 74525 | 2015-10-15 |
| 1013383793 | Kay Banks | Student in an Organized Health Care Education/Training Program | 706 S. Greathouse Drive, Atoka, OK 74525 | 2015-08-17 |
| 1871977926 | Malinda Leann Mccall | Speech-Language Pathologist | 706 S Greathouse Drive, Atoka, OK 74525 | 2015-07-17 |
| 1467834069 | Christi Curry | Student in an Organized Health Care Education/Training Program | 800 South Greathouse Drive, Atoka, OK 74525 | 2015-06-19 |
| 1215318944 | Lauren Baker | Student in an Organized Health Care Education/Training Program | 706 South Greathouse Drive, Atoka, OK 74525 | 2015-06-18 |
| 1104210251 | Kheri Smith | Counselor | 1401 S Gin Rd, Atoka, OK 74525 | 2015-03-26 |
| Find all providers in zip 74525 | ||||
| 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 |
|---|---|---|---|---|
| 1396170668 | Charles William Puryear | Dentist | 11092 Highway 51 S, Atoka, TN 38004-4947 | 2013-09-05 |
| 1477541472 | Larry David White Sr. | Dentist | 11092 Highway 51 S Ste B, Atoka, TN 38004-4947 | 2005-10-12 |
| 1750553897 | Kenya J. Larkins,dds,llc | Dentist | 11092 Highway 51 S Ste B, Atoka, TN 38004-4947 | 2008-03-28 |
| 1326038852 | Kenya Jihad Larkins | Dentist | 11092 Highway 51 S Ste B, Atoka, TN 38004-4947 | 2005-10-26 |
| 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 |
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1679183420 | Dentists of Moore and Orthodontics | Dentist | 740 Sw 19th St Ste C, Moore, OK 73160-3062 | 2020-08-06 |
| 1770192635 | Joseph Ghazal | Dentist | 1520 S Main St # 1, Blackwell, OK 74631-4921 | 2020-07-27 |
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1679190953 | Harmon Denture Clinic LLC | Dentist | 104 E Mcelroy Rd Ste 4, Stillwater, OK 74075-3803 | 2020-07-02 |
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1053937854 | Nathan Sethman | Dentist | 1410 N Louis Tittle Ave, Mangum, OK 73554-2218 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
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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.