YUKON DENTISTRY & BRACES (NPI# 1073135588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073135588 |
Entity Type | Organization |
Organization Name | YUKON DENTISTRY & BRACES |
Practice Address |
901 E Main Street Suite 100 Yukon OK 73099 |
Mailing Address |
250 Cattle Creek Dr Guthrie OK 73044-5622 |
Practice Telephone | 4054930830 |
Enumeration Date | 2020-05-07 |
Last Update Date | 2020-08-26 |
Authorized Official Name | BENJAMIN BOWMAN (OWNER) |
Authorized Official Telephone | 4053268004 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
901 E MAIN STREET SUITE 100 |
City | YUKON |
State | OK |
Zip Code | 73099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
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 |
1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
1679075147 | Yukon Dental Group Pllc | Dentist | 1010 Garth Brooks Blvd Ste. 120, Yukon, OK 73099 | 2018-03-01 |
Find all providers in zip 73099 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1336314251 | David E. Deason | Clinic/Center | 415 E Main St Ste 4, Yukon, OK 73099-2259 | 2008-04-23 |
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 |
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 |
1063041275 | Fleming Dental Co Pllc | Clinic/Center | 13316 S Western Ave Ste B, Oklahoma City, OK 73170-7309 | 2020-04-08 |
1295369320 | Okeene Dentistry & Braces | Clinic/Center | 207 E F St, Okeene, OK 73763-9441 | 2020-02-27 |
1578103743 | Dental Surgery Center of Midwest City | Clinic/Center | 9060 Harmony Dr Ste E, Oklahoma City, OK 73130-6253 | 2020-01-15 |
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.