EL RENO DENTAL (NPI# 1033631841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033631841 |
| Entity Type | Organization |
| Organization Name | EL RENO DENTAL |
| Practice Address |
1711 Investors Ave El Reno OK 73036-1607 |
| Practice Telephone | 4052621919 |
| Practice Fax Number | 4055639374 |
| Mailing Telephone | 4052621919 |
| Mailing Fax Number | 4055639374 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | BENJAMIN JAMES BOWMAN (MANAGER) |
| Authorized Official Telephone | 4053268004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6076 | OK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922361104 | El Reno Dental | Dentist | 2005 Parkview Dr, Suite 2, El Reno, OK 73036-2150 | 2012-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | EL RENO DENTAL PLLC | 2005 Parkview Dr #2, El Reno, OK 73036 |
| Street Address |
1711 INVESTORS AVE |
| City | EL RENO |
| State | OK |
| Zip Code | 73036-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508126772 | James Albert Joern | Dentist | 1711 Investors Ave, El Reno, OK 73036-1607 | 2012-05-22 |
| 1902467871 | Shaun Heier | Dentist | 1711 Investors Ave, El Reno, OK 73036-1607 | 2019-06-21 |
| 1033639430 | Wesley Guenther | Dentist | 1711 Investors Ave, El Reno, OK 73036-1607 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 1669934436 | Mikaila Marie Martin | Case Manager/Care Coordinator | 600 South Choctaw, El Reno, OK 73036 | 2019-04-02 |
| 1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
| 1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
| 1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
| 1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
| 1669991360 | Melissa Larimore | Counselor | 7565 E Hwy 66, El Reno, OK 73036 | 2017-09-13 |
| 1174045561 | Jordan Garcia | Counselor | 7565 E. Hwy 66, El Reno, OK 73036 | 2017-07-07 |
| 1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
| 1295190593 | Roger Dale Wantland | Physical Therapist | 1901 Parkway Drive, Elreno, OK 73036 | 2015-12-31 |
| Find all providers in zip 73036 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720437296 | Canadian Valley Dentistry | Clinic/Center | 2005 Parkview Dr, Suite 1, El Reno, OK 73036-2150 | 2016-06-06 |
| 1164745964 | Robin E. White D.d.s. Pllc | Clinic/Center | 1705 W Elm St, El Reno, OK 73036-4203 | 2010-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474758 | Sand Springs Dentistry and Braces | Clinic/Center | 152 W. Alexander Blvd, Ste E, Sand Springs, OK 74063 | 2020-10-12 |
| 1831796580 | Perry Smiles LLC | Clinic/Center | 505 N 14th St Ste B, Perry, OK 73077-5000 | 2020-10-06 |
| 1518578095 | Summer Dental Midwest City, Pllc | Clinic/Center | 1900 S Air Depot Blvd Ste 1, Midwest City, OK 73110-5522 | 2020-08-10 |
| 1922626639 | Dental Lodge of Purcell | Clinic/Center | 1929 S Green Ave, Purcell, OK 73080-6203 | 2020-07-09 |
| 1821616533 | Enhance Dental of Norman | Clinic/Center | 1049 12th Ave Ne # 100, Norman, OK 73071-5312 | 2020-07-09 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1265052062 | Ada Dentistry and Braces | Clinic/Center | 931 Arlington St Ste 3, Ada, OK 74820-4025 | 2020-04-21 |
| 1225657133 | Impressions Dental of Harrah | Clinic/Center | 20926 Se 29th St Ste A, Harrah, OK 73045-6610 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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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.