OKC DENTAL HEALTH ASSOCIATES, P.C. (NPI# 1093135675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093135675 |
| Entity Type | Organization |
| Organization Name | OKC DENTAL HEALTH ASSOCIATES, P.C. |
| Other Organization Name | DENTAL CARE OF BIXBY |
| Practice Address |
12106 S Memorial Dr Bixby OK 74008-2508 |
| Practice Telephone | 9183647000 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | HANNAH FISH (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405699 |
| Is Organization Subpart | Y |
| Parent Organization Name | OKC DENTAL HEALTH ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Care of Bixby | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245650829 | Okc Dental Health Associates, P.C. | Dentist | 1011 E Taft Ave, Sapulpa, OK 74066-5730 | 2014-04-22 |
| 1457771032 | Okc Dental Health Associates, P.C. | Dentist | 3451 W Kenosha St, Broken Arrow, OK 74012-8949 | 2014-04-22 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1982024840 | Okc Dental Health Associates, P.C. | Dentist | 9072 W Highway 70, Durant, OK 74701-6513 | 2014-04-18 |
| 1154741023 | Okc Dental Health Associates, P.C. | Dentist | 3201 W Broadway St, Muskogee, OK 74401-2132 | 2014-04-18 |
| 1942620885 | Okc Dental Health Associates, P.C. | Dentist | 1900 S Air Depot Blvd, Suite 1, Midwest City, OK 73110-5522 | 2014-04-18 |
| 1942620893 | Okc Dental Health Associates, P.C. | Dentist | 1430 Lonnie Abbott Blvd, Ada, OK 74820-1851 | 2014-04-18 |
| 1013337955 | Okc Dental Health Associates, P.C. | Dentist | 14221 N Pennsylvania Ave, Suite C, Oklahoma City, OK 73134-6096 | 2014-04-18 |
| 1750701603 | Okc Dental Health Associates, P.C. | Dentist | 2401 12th Ave Nw Ste 103, Ardmore, OK 73401-1471 | 2014-04-18 |
| 1821418831 | Okc Dental Health Associates, P.C. | Dentist | 2111 Nw Cache Rd, Lawton, OK 73505-5213 | 2014-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKC DENTAL HEALTH ASSOCIATES, P.C. | 2111 Nw Cache Rd, Lawton, OK 73505-5213 |
| Street Address |
12106 S MEMORIAL DR |
| City | BIXBY |
| State | OK |
| Zip Code | 74008-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720496441 | Tygran Pahlevanyan | Dentist | 12106 S Memorial Dr, Bixby, OK 74008-2508 | 2014-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1255821005 | South Tulsa Pain Management LLC. | Pain Medicine | 12345 S Memorial Dr Ste 106, Bixby, OK 74008 | 2018-05-17 |
| 1083104483 | Jennifer Scoggins Ms, Rd/ld, L.L.C. | Dietitian, Registered | 20164 S 137th East Ave, Bixby, OK 74008 | 2018-05-11 |
| 1043749310 | Brooke E Landers | Case Manager/Care Coordinator | 11113 S 107th E Ave, Bixby, OK 74008 | 2017-06-08 |
| 1053770404 | Mitzi Blanchard | Nurse Practitioner | 7333 E. 121st St S, Suite 200, Bixby, OK 74008 | 2016-02-13 |
| 1578942124 | Candace Taylor | Physical Therapist | 9013 East 138th St S, Bixby, OK 74008 | 2015-05-28 |
| 1427445188 | Kevin Toliver | Contractor | 10723 E 115th St South, Bixby, OK 74008 | 2015-04-21 |
| 1992102164 | Jessica Thompson | Speech-Language Pathologist | 7701 E. 121st, Bixby, OK 74008 | 2014-12-03 |
| 1700070232 | Body Worx Chiropractic | Chiropractor | 5085 East 151st St., Suite B, Bixby, OK 74008 | 2007-08-28 |
| Find all providers in zip 74008 | ||||
| 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 |
|---|---|---|---|---|
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1265609192 | Advantage Dental Pllc | Dentist | 11907 S Memorial Dr Ste B, Bixby, OK 74008-2045 | 2008-05-09 |
| 1568637379 | Craig C Hine Dds PC | Dentist | 12345 S Memorial Dr Ste 103, Bixby, OK 74008-2570 | 2008-04-23 |
| 1164642542 | Jason Andrew Knapp | Dentist | 11907-b South Memorial Drive, Bixby, OK 74008 | 2007-04-26 |
| 1720165616 | Roy Maddox Dds PC | Dentist | 13000 South Memorial Drive, Bixby, OK 74008 | 2006-11-01 |
| 1609989961 | Bruce Mosby Williams | Dentist | 3177 E 146th Pl S, Bixby, OK 74008-8046 | 2006-08-17 |
| 1548220650 | Terry Justin Reavis | Dentist | 13302 S Memorial Dr, Bixby, OK 74008-3114 | 2006-03-23 |
| 1093792798 | Beena Tej Lad | Dentist | 8194 E 111th St S, Bixby, OK 74008-2421 | 2005-12-23 |
| 1649881582 | East 111 Family Dentistry Pllc | Dentist | 8194 E 111th St S, Bixby, OK 74008-2421 | 2020-08-13 |
| 1346722683 | Spring Dental Bixby Pllc | Dentist | 12345 S Memorial Dr Ste 103, Bixby, OK 74008-2570 | 2018-09-04 |
| Find all providers in BIXBY | ||||
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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.