DENTAL PROFESSIONALS OF OK, PC


Address: 3152 S Broadway, Edmond, OK 73013-4056
Phone: 4056964168

DENTAL PROFESSIONALS OF OK, PC (NPI# 1013311265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013311265
Entity Type Organization
Organization Name DENTAL PROFESSIONALS OF OK, PC
Other Organization Name CROSS TIMBERS FAMILY DENTAL
Practice Address 3152 S Broadway
Edmond
OK 73013-4056
Practice Telephone 4056964168
Mailing Telephone 4056964168
Enumeration Date 2014-10-17
Last Update Date 2014-10-17
Authorized Official Name JENNIFER HOELSCHER (INSURANCE/CREDENTIALING)
Authorized Official Telephone 2175405100
Is Organization Subpart Y
Parent Organization Name DENTAL PROFESSIONALS OF OK, PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Cross Timbers Family Dental Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437568730 Dental Professionals of Ok, PC Dentist 13101 E. 96th Street North, Owasso, OK 74055-4775 2014-08-12
1174951842 Dental Professionals of Ok, PC Dentist 518 W I 240 Service Rd, Oklahoma City, OK 73139-4400 2013-10-16

Office Location

Street Address 3152 S BROADWAY
City EDMOND
State OK
Zip Code 73013-4056

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407461866 Alison Church-pugh Case Manager/Care Coordinator 1441 Kelley Pointe Pkwy, Edmond, OK 73013 2020-09-12
1699395343 Dental Specialists of Edmond Dentist 16430 Muirfield Pl, Edmond, OK 73013 2020-04-23
1104477215 Kammerer Richey LLC Nurse Practitioner 902 Nw 139th Street Parway, Edmond, OK 73013 2019-09-20
1811459191 Peak Movement Centre, Pllc Clinic/Center 13816 Santa Fe Crossing Dr, Edmond, OK 73013 2019-04-04
1851858492 Luma Hilal Pharmacist 2228 Nw 15th Terrace, Edmond, OK 73013 2019-03-01
1578031571 Oklahoma Wellness Group LLC Internal Medicine 14101 North Esatern Avenue Suite B, Edmond, OK 73013 2018-11-07
1477034395 Specialty Care Pediatrics, Inc. Home Health 2256 Nw 164th Street, Edmond, OK 73013 2018-08-28
1972083921 Pooja Bhakta Physician Assistant Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 2018-08-20
1417460577 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 15103 N Macarthur Blvd, Oklahoma City, OK 73013 2017-11-13
1356879753 Shawn Smith Optimal Pt and Performance, Pllc Physical Therapist 336 Ne 145th Pl, Edmond, OK 73013 2017-05-30
Find all providers in zip 73013

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154945202 Korbin Hally Dentist 2600 Tayler Street, Edmond, OK 73003 2020-06-04
1730748773 Tri Nguyen Dentist 2325 Nw 153rd St, Edmond, OK 73013-9229 2019-06-12
1497247860 Preston Eugene Harraman Dentist 775 W Covell Rd Ste 160, Edmond, OK 73003-2302 2018-06-01
1346698842 Jason Wallace Dentist 1400 W Covell Rd, Edmond, OK 73003-3504 2016-05-25
1033519012 Roger Potts Dental Group, PC Dentist 1333 N Santa Fe Ave Ste 105, Edmond, OK 73003-3677 2014-08-27
1588077150 Krystal Dawn Hall Dentist 21026 Highlander Ridge Dr, Edmond, OK 73012-0902 2014-06-11
1497023196 Tapan Koticha Dentist 16430 Muirfield Place, Edmond, OK 73013-9161 2011-12-08
1922394261 William Samuel Ward Dentist 1354 E 15th St, Edmond, OK 73013-5029 2011-06-24
1083904833 Dawn Annette Hisey Dentist 1140 Brookside Ct, Edmond, OK 73025-9748 2011-04-13
1740417328 Yong Ki Hong Dentist 18001 N Western Ave Ste 106, Edmond, OK 73012 2009-06-22
Find all providers in EDMOND

Competitor

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City EDMOND
Zip Code 73013

Improve Information

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Dataset Information

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.

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