BROKEN ARROW ENDODONTICS (NPI# 1124219274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124219274 |
| Entity Type | Organization |
| Organization Name | BROKEN ARROW ENDODONTICS |
| Other Organization Name | BROKEN ARROW ENDODONTICS |
| Practice Address |
4420 W Houston St Broken Arrow OK 74012-4645 |
| Practice Telephone | 9186153600 |
| Practice Fax Number | 9186153601 |
| Mailing Telephone | 9186153600 |
| Mailing Fax Number | 9186153601 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | EVE G STRAND (OFFICE MANAGER) |
| Authorized Official Telephone | 9186153600 |
| Is Organization Subpart | Y |
| Parent Organization Name | BROKEN ARROW ENDODONTICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
47 | OK | Dental Providers |
| Other Name | Type Code |
|---|---|
| Broken Arrow Endodontics | Doing Business As Name - Organization |
| Street Address |
4420 W HOUSTON ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972703734 | J. Mike Strand | Dentist | 4420 W Houston St, Broken Arrow, OK 74012-4645 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770713729 | Eugenia Johnson | Dentist | 4416 W Houston St, Broken Arrow, OK 74012-4645 | 2009-07-23 |
| 1972703734 | J. Mike Strand | Dentist | 4420 W Houston St, Broken Arrow, OK 74012-4645 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891008272 | Reham El-hennawey | Dentist | 400 Riverwalk Ter, Ste 200, Jenks, OK 74037-5606 | 2010-07-14 |
| 1013187186 | Denny W Southard | Dentist | 6565 S Yale Ave Ste 712, Tulsa, OK 74136-8308 | 2008-03-05 |
| 1629290242 | Kim Loren Wilkinson | Dentist | 13851 Quail Pointe Dr, Oklahoma City, OK 73134-1021 | 2007-05-03 |
| 1336366244 | Jackson L. Sullivan D.d.s., P.C. | Dentist | 609 S Kelly Ave Ste E1, Edmond, OK 73003-7501 | 2007-04-20 |
| 1861532616 | Steven Eugene Powell | Dentist | 410 24th Ave Sw, Norman, OK 73069-5110 | 2007-02-08 |
| 1992843965 | Jay Scott Sullins | Dentist | 8504 Nw Cache Rd, Lawton, OK 73505-9604 | 2007-02-02 |
| 1760536866 | David W Pedicord | Dentist | 4606 E 67th Street, Suite 208, Tulsa, OK 74136 | 2007-01-23 |
| 1437207560 | David J Clement | Dentist | 1201 N Stonewall Ave., Ouhsc College of Dentistry, Oklahoma City, OK 73117 | 2007-01-08 |
| 1982616256 | William Lee Beasley I | Dentist | 4500 Memorial Cir, Oklahoma City, OK 73142-5003 | 2006-08-13 |
| 1336155449 | Darrell Daugherty | Dentist | 1601 S Sangre Rd, Stillwater, OK 74074-1847 | 2006-07-31 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.