PERRY SMILES LLC (NPI# 1831796580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831796580 |
| Entity Type | Organization |
| Organization Name | PERRY SMILES LLC |
| Practice Address |
505 N 14th St Ste B Perry OK 73077-5000 |
| Mailing Address |
2616 N Park Ave Ste 200 Shawnee OK 74804-2838 |
| Practice Telephone | 5803362255 |
| Mailing Telephone | 4052409896 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | LOREN ISRAELSEN (DOCTOR) |
| Authorized Official Telephone | 4052409896 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
505 N 14TH ST STE B |
| City | PERRY |
| State | OK |
| Zip Code | 73077-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477009090 | Oklahoma State Deptartment of Health | Public Health or Welfare | 804 N. 7th St, Perry, OK 73077 | 2016-09-01 |
| 1538581699 | David Martin Reed | Physical Therapist | 1016 Fir Street, Perry, OK 73077 | 2014-01-09 |
| 1790034007 | Kayla Y. Wedel-lobsinger | Rehabilitation Counselor | 502 N. 14th St., Perry, OK 73077 | 2012-08-31 |
| 1841411683 | Angela Dawn Brand | Physical Therapist | 501 14th St N, Perry, OK 73077 | 2007-05-01 |
| 1063520260 | Perry Family Practice | Family Medicine | 505 14th St, Perry, OK 73077 | 2006-08-28 |
| 1629608641 | Brittaney Erin Ward | Peer Specialist | 501 Holly St, Perry, OK 73077-3421 | 2020-01-17 |
| 1356880876 | Bolay Speech Therapy, LLC | Speech-Language Pathologist | 804 N 7th St, Perry, OK 73077-4230 | 2017-02-16 |
| 1962941492 | Jordan L Bolay | Speech-Language Pathologist | 804 N 7th St, Perry, OK 73077-4230 | 2017-02-16 |
| 1265781488 | Jan Lanell Kukuk | Licensed Practical Nurse | 800 Fir St, Perry, OK 73077-4239 | 2012-09-04 |
| 1558475665 | Perry Pharmacy Inc | Pharmacy | 800 Fir St, Perry, OK 73077-4239 | 2006-08-18 |
| Find all providers in zip 73077 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750458741 | Perry Family Dentistry, L.c. | Clinic/Center | 1305 2nd St, Perry, IA 50220-1511 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474758 | Sand Springs Dentistry and Braces | Clinic/Center | 152 W. Alexander Blvd, Ste E, Sand Springs, OK 74063 | 2020-10-12 |
| 1518578095 | Summer Dental Midwest City, Pllc | Clinic/Center | 1900 S Air Depot Blvd Ste 1, Midwest City, OK 73110-5522 | 2020-08-10 |
| 1922626639 | Dental Lodge of Purcell | Clinic/Center | 1929 S Green Ave, Purcell, OK 73080-6203 | 2020-07-09 |
| 1821616533 | Enhance Dental of Norman | Clinic/Center | 1049 12th Ave Ne # 100, Norman, OK 73071-5312 | 2020-07-09 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1265052062 | Ada Dentistry and Braces | Clinic/Center | 931 Arlington St Ste 3, Ada, OK 74820-4025 | 2020-04-21 |
| 1225657133 | Impressions Dental of Harrah | Clinic/Center | 20926 Se 29th St Ste A, Harrah, OK 73045-6610 | 2020-04-10 |
| 1063041275 | Fleming Dental Co Pllc | Clinic/Center | 13316 S Western Ave Ste B, Oklahoma City, OK 73170-7309 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PERRY SMILES LLC.
| 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.