SHANNON CANDID OF OKLAHOMA, P.C. (NPI# 1205443306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205443306 |
| Entity Type | Organization |
| Organization Name | SHANNON CANDID OF OKLAHOMA, P.C. |
| Practice Address |
624 S Denver Ave Ste 300 Tulsa OK 74119-1075 |
| Practice Telephone | 8604817631 |
| Mailing Telephone | 8604817631 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | THOMAS SHANNON (DDS) |
| Authorized Official Telephone | 8604817631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
624 S DENVER AVE STE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74119-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871687699 | Gary Kincaid Cunningham II | Family Medicine | 624 S Denver Ave Ste 300, Tulsa, OK 74119-1075 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413848 | Rashawnda Eshelle Broom | Community Health Worker | 1870 S. Boulder, Tulsa, OK 74119 | 2016-08-28 |
| 1740736115 | Kendrea Zellers | Counselor | 1516 South Boston Ave, Tulsa, OK 74119 | 2016-08-26 |
| 1528410297 | Andrea Cheree Walker | Counselor | 1541 Riverside Drive, Tulsa, OK 74119 | 2016-07-06 |
| 1851712459 | Bennett William Mcralip Jr. | Student in an Organized Health Care Education/Training Program | 1729 S. Baltimore Ave, Tulsa, OK 74119 | 2013-12-27 |
| 1932459302 | Isaac James Almaguer | Marriage & Family Therapist | 1516 S. Boston Ave, Suite 1, Tulsa, OK 74119 | 2012-09-13 |
| 1962721266 | Kimberly Dawn See | Counselor | 1516 South Boston Avenue, Tulsa, OK 74119 | 2010-05-26 |
| 1487879136 | G.thang Khan Kham | Counselor | 616 S.boston Suite #400, Tulsa, OK 74119 | 2007-04-16 |
| 1114447117 | Alyssa Orcutt | Counselor | 1870 S Boulder Ave, Tulsa, OK 74119 | 2017-06-21 |
| 1497152615 | Kristine Anne Runfola | Social Worker | 1608 S Elwood Ave, Tulsa, OK 74119 | 2014-12-03 |
| 1124445028 | Lauren Priester | Counselor | 1421 S Boston Ave, Tulsa, OK 74119 | 2014-03-28 |
| Find all providers in zip 74119 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548478381 | Anand N. Patel P.C. | Dentist | 4550 S Harvard Ave, Tulsa, OK 74135-2906 | 2007-05-17 |
| 1104041920 | Jonathan Scott Cooper | Dentist | 3916 E 91st St, Tulsa, OK 74137-3602 | 2007-04-16 |
| 1174669527 | Kirkpatrick & Lai Dds Inc PC | Dentist | 5304 S Harvard Ave, Tulsa, OK 74135-3817 | 2007-01-30 |
| 1124199807 | Blake R. Henry | Dentist | 7705 E 81st St, Tulsa, OK 74133-4200 | 2006-11-13 |
| 1912916123 | Mark Alan Andregg | Dentist | 10125 S Sheridan Rd, Suite E, Tulsa, OK 74133-6737 | 2006-08-05 |
| 1396752663 | Van L. Nowlin | Dentist | 5010 East 68th St., Ste 200, Tulsa, OK 74136-3305 | 2006-08-01 |
| 1174565790 | L Kent Shacklett | Dentist | 3305 E 45th St, Tulsa, OK 74135-2901 | 2006-06-11 |
| 1528027091 | Ryan V. Nowlin Dds, Ms, PC | Dentist | 5010 E. 68th St., Suite 200, Tulsa, OK 74136 | 2006-03-22 |
| 1750366514 | Robert Jerome Herman | Dentist | 6565 S Yale Ave Ste 510, Tulsa, OK 74136-8306 | 2005-12-14 |
| 1225029671 | Lawrence Elliott Sims | Dentist | 2117 S Atlanta Pl, Tulsa, OK 74114-1709 | 2005-11-03 |
| 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.