EASY DENTAL SOLUTIONS IV (NPI# 1962865949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962865949 |
| Entity Type | Organization |
| Organization Name | EASY DENTAL SOLUTIONS IV |
| Practice Address |
1100 N Mustang Rd Mustang OK 73064-7201 |
| Mailing Address |
10001 S Pennsylvania Ave Suite M 220 Oklahoma City OK 73159-6923 |
| Practice Telephone | 4053766565 |
| Practice Fax Number | 4053762443 |
| Mailing Telephone | 4057968012 |
| Mailing Fax Number | 4053782381 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | BOBBY LONG (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 4053766565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
OK | Dental Providers |
| Street Address |
1100 N MUSTANG RD |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000114 | Steven Mark Vincent | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7200 | 2005-08-16 |
| 1194377168 | Partin Eyecare PC | Optometrist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2019-07-10 |
| 1891118063 | Canadian Valley Speech Services | Speech-Language Pathologist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2014-01-23 |
| 1538582705 | Diann Burris | Speech-Language Pathologist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2014-01-23 |
| 1528408085 | Action Chiropractic Pllc | Chiropractor | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2013-06-28 |
| 1780960773 | Jamey Rochelle Little | Chiropractor | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2011-10-23 |
| 1053604876 | Fhm Homecare | Home Health | 1100 N Mustang Rd, Suite F, Mustang, OK 73064-7201 | 2011-05-26 |
| 1255561791 | Leisha V. Everett,dds,pc | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2009-07-17 |
| 1053598391 | Glenn E. Partin Od PC | Optometrist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2008-01-29 |
| 1912989377 | Roger Goel Potts | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7200 | 2005-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1386901502 | John M Ketcher LLC | Optometrist | 1108 E. Hwy 152, Mustang, OK 73064 | 2012-04-12 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| Find all providers in zip 73064 | ||||
| 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 |
|---|---|---|---|---|
| 1669097077 | Matthew J Muir | Dentist | 1001 E State Highway 152 Ste 113, Mustang, OK 73064-5131 | 2020-06-11 |
| 1902276025 | Mustang Family Dental | Dentist | 1444 N Mustang Rd, Mustang, OK 73064-7214 | 2015-10-01 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1689858698 | Dds Dental PC | Dentist | 210 N. Mustang Road, Mustang, OK 73064 | 2007-12-27 |
| 1043294887 | Doug Riggs | Dentist | 210 N Mustang Rd, Mustang, OK 73064-3911 | 2005-12-05 |
| 1891787057 | Kristi L Cobb | Dentist | 1108 N Mustang Rd, Mustang, OK 73064-1428 | 2005-08-15 |
| 1205838026 | John R. Ainsworth | Dentist | 500 N Financial Ter, Ste. D, Mustang, OK 73064-4432 | 2005-08-11 |
| 1184248544 | Mason Ross Davis | Dentist | 1108 N Mustang Rd, Mustang, OK 73064-7220 | 2020-06-02 |
| 1255561791 | Leisha V. Everett,dds,pc | Dentist | 1100 N Mustang Rd, Mustang, OK 73064-7201 | 2009-07-17 |
| Find all providers in MUSTANG | ||||
Please comment or provide details below to improve the information on EASY DENTAL SOLUTIONS IV.
| 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.