DREW ENDICOTT DDS AND ASSOCIATES PLLC (NPI# 1932648326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932648326 |
| Entity Type | Organization |
| Organization Name | DREW ENDICOTT DDS AND ASSOCIATES PLLC |
| Practice Address |
3300 S Aspen Ave Ste A Broken Arrow OK 74012 |
| Practice Telephone | 9182510211 |
| Mailing Telephone | 9182510211 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | DREW D ENDICOTT (OWNER) |
| Authorized Official Telephone | 4174831746 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
3300 S ASPEN AVE STE A |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| 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 |
|---|---|---|---|---|
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1891223277 | Connor Hieger | Dentist | 3001 W Elgin Pl, Broken Arrow, OK 74012-2256 | 2017-05-30 |
| 1164897666 | Spring Dental-broken Arrow | Dentist | 6416 S Elm Pl, Broken Arrow, OK 74011-4819 | 2015-12-09 |
| 1457771032 | Okc Dental Health Associates, P.C. | Dentist | 3451 W Kenosha St, Broken Arrow, OK 74012-8949 | 2014-04-22 |
| 1679912471 | Benjamin R Pieper | Dentist | 1230 E. Hillside Dr., Broken Arrow, OK 74012 | 2013-06-14 |
| 1992961031 | Timothy Mitchell Hughes | Dentist | 2001 S. Elm Pl., Suite E, Broken Arrow, OK 74012 | 2008-07-29 |
| 1922148345 | George Robert Ballew | Dentist | 110 N 1st St, Broken Arrow, OK 74012-3945 | 2007-02-07 |
| 1700935392 | Eric T Golbek | Dentist | My Dentist 3451 W Kenosha St, Broken Arrow, OK 74012-8949 | 2007-01-10 |
| 1497815971 | Oklahoma Dental-broken Arrow | Dentist | 2234 W Houston St Ste A, Broken Arrow, OK 74012-3519 | 2006-12-12 |
| 1700986379 | Dennis J. Carlile | Dentist | 901 W Kenosha St, Broken Arrow, OK 74012-8918 | 2006-09-24 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on DREW ENDICOTT DDS AND ASSOCIATES PLLC.
| 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.