MR. ROSS EDWIN SETHMAN (NPI# 1013096494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013096494 |
| Entity Type | Individual |
| Full Name | MR. ROSS EDWIN SETHMAN |
| Credential | DDS |
| Practice Address |
812 South Pine Street Stillwater OK 74074 |
| Practice Telephone | 4056241300 |
| Practice Fax Number | 4056243084 |
| Mailing Telephone | 4056241300 |
| Mailing Fax Number | 4056243084 |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
115 | OK | Dental Providers |
| Street Address |
812 SOUTH PINE STREET |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629146964 | Richard Reed Miller | Dentist | 812 South Pine Street, Stillwater, OK 74074 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467627364 | Central Oklahoma Oral & Maxillofacial Surgery Associates | Dentist | 812 S Pine St, Stillwater, OK 74074-4349 | 2008-04-23 |
| 1508058322 | Great Lakes Oral & Maxillofacial Surgery, P.a. | Dentist | 2850 Curve Crest Blvd, Suite 130, Stillwater, MN 55082 | 2007-08-15 |
| 1053381061 | Martin A Tahara | Dentist | 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082-6044 | 2006-01-23 |
| 1265097653 | The Dental Specialist of Minnesota, Pllc | Dentist | 13961 60th St N, Stillwater, MN 55082-1053 | 2019-05-01 |
| 1629146964 | Richard Reed Miller | Dentist | 812 South Pine Street, Stillwater, OK 74074 | 2006-12-04 |
| 1427129717 | St Croix Oral, Maxillofacial & Implant Surgery, P.a. | Dentist | 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082-6044 | 2006-11-10 |
| 1023088622 | Steven D Johnson | Dentist | 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082-6044 | 2006-01-25 |
| 1235128992 | Richard William Brunton | Dentist | 2850 Curve Crest Blvd W, Stillwater, MN 55082-4079 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801303888 | Wisdom Tooth Center, Pllc | Dentist | 2745 S I 35 Service Rd, Moore, OK 73160-2715 | 2017-12-29 |
| 1033560966 | Medical Consultant Services | Dentist | 3309 W Princeton St, Broken Arrow, OK 74012-9587 | 2016-06-22 |
| 1487019071 | Stonewood Hills Oral Maxillofacial Surgery, Inc. | Dentist | 425 Stone Wood Dr, Broken Arrow, OK 74012-1026 | 2015-12-23 |
| 1477927085 | Justin Pisano | Dentist | 429 Nw 11th St, Apt 6, Oklahoma City, OK 73103-3927 | 2015-11-19 |
| 1558776989 | Daniel Szalay | Dentist | 1201 N Stonewall Ave Ste 206, Oklahoma City, OK 73117-1214 | 2014-06-24 |
| 1558771170 | Yukon Maxillo-facial Surgery Center | Dentist | 404 S Mustang Rd, Yukon, OK 73099-6754 | 2014-05-05 |
| 1649690025 | Andrew Mcgarry | Dentist | 10900 Hefner Pointe Dr Ste 204, Oklahoma City, OK 73120 | 2014-04-23 |
| 1740572601 | Lauren Lunday | Dentist | 3617 W Gore Blvd Ste B, Lawton, OK 73505-6373 | 2011-05-11 |
| 1265735724 | Michael J. Gliddon Dba Live Oak Oral Surgery | Dentist | 1415 Nw 33rd St, Lawton, OK 73505-3806 | 2010-12-06 |
| 1023329901 | Armando Retana | Dentist | 7322 E 91st St, Tulsa, OK 74133-6016 | 2010-06-25 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.