HERO DENTAL OF OKLAHOMA PC (NPI# 1053875690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053875690 |
| Entity Type | Organization |
| Organization Name | HERO DENTAL OF OKLAHOMA PC |
| Practice Address |
7715 E 91st St Ste A Tulsa OK 74133-6060 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 9188727009 |
| Mailing Telephone | 7195761850 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | CHARLOTTE SOUDER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7196490305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Pediatric Dental Group II, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508411968 | Hero Dental of Oklahoma PC | Dentist | 1200 S Air Depot Blvd, Midwest City, OK 73110-4866 | 2019-08-02 |
| 1225592868 | Hero Dental of Oklahoma PC | Dentist | 1646 E 6th St, Tulsa, OK 74120-4001 | 2019-01-28 |
| 1427512060 | Hero Dental of Oklahoma PC | Dentist | 602 S Utica Ave, Tulsa, OK 74104-2641 | 2019-01-28 |
| Street Address |
7715 E 91ST ST STE A |
| City | TULSA |
| State | OK |
| Zip Code | 74133-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760864235 | Pediatric Dental Group II, LLC | Dentist | 7715 E 91st St Ste A, Tulsa, OK 74133-6060 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| 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 |
|---|---|---|---|---|
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1346801198 | Progressive Dental Care of Tulsa, Pllc | Dentist | 7614 E 91st St Ste 120, Tulsa, OK 74133-6047 | 2019-06-24 |
| 1295394211 | Hope Restorative and Cosmetic Dentistry | Dentist | 9445 S Mingo Rd Ste 120, Tulsa, OK 74133-5827 | 2019-06-12 |
| 1154988277 | Jeremy Ryan Archer | Dentist | 4606 E 67th St Ste 312, Tulsa, OK 74136-4950 | 2019-05-23 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1558852459 | Kyle Sikes | Dentist | 6565 S Yale Ave Ste 1104, Tulsa, OK 74136-8380 | 2018-05-25 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1114445285 | T-town Smiles, PC | Dentist | 6565 S Yale Ave # 1107, Tulsa, OK 74136-8327 | 2017-09-08 |
| 1235679440 | Tulsa Premier Dentistry, Pllc | Dentist | 7891 E 108th St Ste X4, Tulsa, OK 74133-7406 | 2017-03-07 |
| 1033571104 | Alexander D. Williams, D.d.s., P.C. | Dentist | 5510 E 41st St, Suite C, Tulsa, OK 74135-6009 | 2016-03-28 |
| Find all providers in TULSA | ||||
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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.