MODERN DENTAL PROFESSIONALS OKLAHOMA OC (NPI# 1952698623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952698623 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS OKLAHOMA OC |
| Other Organization Name | MONARCH DENTAL - NORMAN |
| Practice Address |
1732 24th Ave Nw Suite C-107 Norman OK 73069-6397 |
| Practice Telephone | 4052532043 |
| Practice Fax Number | 4055792060 |
| Mailing Telephone | 4052532043 |
| Mailing Fax Number | 4055792060 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | DR. PAUL PEEK (OWNER) |
| Authorized Official Telephone | 4052532043 |
| Is Organization Subpart | Y |
| Parent Organization Name | MODERN DENTAL PROFESSIONALS OKLAHOMA PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Monarch Dental - Norman | Doing Business As Name - Organization |
| Street Address |
1732 24TH AVE NW SUITE C-107 |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| 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 |
|---|---|---|---|---|
| 1760031934 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 2226 24th Ave Nw, Norman, OK 73069-6496 | 2019-09-10 |
| 1396397121 | Kelsie Brooke Hinkl | Dentist | 3505 Medical Park Dr, Norman, OK 73072-7307 | 2019-07-11 |
| 1578061099 | Ofd Norman LLC | Dentist | 3201 W Tecumseh Rd Ste 130, Norman, OK 73072-1819 | 2018-01-30 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1457737330 | Amazing Smiles | Dentist | 224 W Gray St, Suite 105, Norman, OK 73069-7115 | 2015-08-03 |
| 1417340431 | Dr Edward A Kahn Pllc | Dentist | 1683 24th Ave Nw, Norman, OK 73069-6566 | 2015-03-16 |
| 1942642376 | Julie Speights,dds,pllc | Dentist | 224 W Gray St Ste 105, Norman, OK 73069-7114 | 2013-07-26 |
| 1730451808 | Dental Depot of Norman, Pllc | Dentist | 701 West Main Street, Norman, OK 73069-6918 | 2012-02-03 |
| Find all providers in NORMAN | ||||
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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.