DYNAMIC DENTISTY, PLLC (NPI# 1831473743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831473743 |
| Entity Type | Organization |
| Organization Name | DYNAMIC DENTISTY, PLLC |
| Practice Address |
4320 Mcauley Blvd Oklahoma City OK 73120-8386 |
| Practice Telephone | 4056225612 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |
| Authorized Official Name | MARK KELLY (OWNER) |
| Authorized Official Telephone | 4056225612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5869 | OK | Dental Providers |
| Street Address |
4320 MCAULEY BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164410551 | Brent Warren Moody | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 | 2005-10-10 |
| 1306331194 | Eagle Creek Family Dentistry Pllc | Clinic/Center | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2018-06-25 |
| 1104336494 | Jennifer Lynne Walker | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2017-10-02 |
| 1720375223 | Jeremy Clark Goodson | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120 | 2011-07-05 |
| 1235375148 | Vernon Matthew Heim | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2008-12-23 |
| 1225202138 | Brent W. Moody D.d.s., PC | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2008-04-22 |
| 1255516035 | Robert B. Bryan II, Dds, Pllc | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 | 2007-12-29 |
| 1851466379 | Robert Bruce Bryan II | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 | 2006-11-21 |
| 1811094824 | Neil Morgan Glass | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 | 2006-09-20 |
| 1922040237 | Daniel Steven Scheer | Dentist | 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 | 73120 |
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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.