OKC DENTAL HEALTH ASSOCIATES, P.C. (NPI# 1942620885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942620885 |
| Entity Type | Organization |
| Organization Name | OKC DENTAL HEALTH ASSOCIATES, P.C. |
| Other Organization Name | MID-DEL COMPLETE DENTAL CARE |
| Practice Address |
1900 S Air Depot Blvd Suite 1 Midwest City OK 73110-5522 |
| Practice Telephone | 4054551534 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | HANNAH FISH (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405699 |
| Is Organization Subpart | Y |
| Parent Organization Name | OKC DENTAL HEALTH ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Mid-Del Complete Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245650829 | Okc Dental Health Associates, P.C. | Dentist | 1011 E Taft Ave, Sapulpa, OK 74066-5730 | 2014-04-22 |
| 1457771032 | Okc Dental Health Associates, P.C. | Dentist | 3451 W Kenosha St, Broken Arrow, OK 74012-8949 | 2014-04-22 |
| 1093135675 | Okc Dental Health Associates, P.C. | Dentist | 12106 S Memorial Dr, Bixby, OK 74008-2508 | 2014-04-22 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1982024840 | Okc Dental Health Associates, P.C. | Dentist | 9072 W Highway 70, Durant, OK 74701-6513 | 2014-04-18 |
| 1154741023 | Okc Dental Health Associates, P.C. | Dentist | 3201 W Broadway St, Muskogee, OK 74401-2132 | 2014-04-18 |
| 1942620893 | Okc Dental Health Associates, P.C. | Dentist | 1430 Lonnie Abbott Blvd, Ada, OK 74820-1851 | 2014-04-18 |
| 1013337955 | Okc Dental Health Associates, P.C. | Dentist | 14221 N Pennsylvania Ave, Suite C, Oklahoma City, OK 73134-6096 | 2014-04-18 |
| 1750701603 | Okc Dental Health Associates, P.C. | Dentist | 2401 12th Ave Nw Ste 103, Ardmore, OK 73401-1471 | 2014-04-18 |
| 1821418831 | Okc Dental Health Associates, P.C. | Dentist | 2111 Nw Cache Rd, Lawton, OK 73505-5213 | 2014-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKC DENTAL HEALTH ASSOCIATES, P.C. | 2111 Nw Cache Rd, Lawton, OK 73505-5213 |
| Street Address |
1900 S AIR DEPOT BLVD SUITE 1 |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-5522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| 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 |
|---|---|---|---|---|
| 1154988517 | Anthony Lynn Boon | Dentist | 9708 E Reno Ave, Midwest City, OK 73130-3502 | 2019-05-21 |
| 1326558628 | East Sooner Dental Partners Pllc | Dentist | 7100 Se 15th St, Midwest City, OK 73110-5234 | 2017-10-02 |
| 1821448242 | Leaha Nels | Dentist | 101 N Douglas Blvd Ste T, Midwest City, OK 73130-3328 | 2016-06-16 |
| 1881034270 | Valeriya Vorozhko Knight | Dentist | 1200 N Air Depot Blvd, Midwest City, OK 73110-3334 | 2013-06-28 |
| 1487942876 | Brent Thomas Amaya | Dentist | 1991 S Douglas Blvd, Midwest City, OK 73130-6225 | 2011-07-19 |
| 1982866471 | Don Coley Dugan | Dentist | 8827 E Reno Ave Ste 202, Midwest City, OK 73110-7732 | 2008-06-26 |
| 1518126085 | Adam Charles Brewer | Dentist | 101 N Douglas Blvd, Ste T, Midwest City, OK 73130-3329 | 2008-06-09 |
| 1053515106 | Alan Cady | Dentist | 10825 Parke Pl, Midwest City, OK 73130-1009 | 2007-06-13 |
| 1194866830 | Steven Michael Kendrick | Dentist | 7215 E Reno, Midwest City, OK 73130 | 2007-02-08 |
| 1144369695 | Dentistry By Design | Dentist | 7215 E Reno Ave, Midwest City, OK 73110-4446 | 2007-02-05 |
| Find all providers in MIDWEST CITY | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
Please comment or provide details below to improve the information on OKC DENTAL HEALTH ASSOCIATES, P.C..
| 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.