GREEN COUNTRY DENTURE CENTER


Address: 1824 S.e . Washington Blvd., Bartlesville, OK 74006
Phone: 9183312221

GREEN COUNTRY DENTURE CENTER (NPI# 1215080734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215080734
Entity Type Organization
Organization Name GREEN COUNTRY DENTURE CENTER
Other Organization Name PREMIER DENTURES & IMPLANTS
Practice Address 1824 S.e . Washington Blvd.
Bartlesville
OK 74006
Mailing Address 1824 S.e . Washington Blvd.
Po Box 3248
Bartlesville
OK 74006
Practice Telephone 9183312221
Practice Fax Number 9183361052
Mailing Telephone 9183312221
Mailing Fax Number 9183361052
Enumeration Date 2007-01-19
Last Update Date 2012-06-26
Authorized Official Name DR. JOHN LARD (PRESIDENT)
Authorized Official Telephone 9183312221
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 5779 OK Dental Providers
Y 122300000X Dentist 5431 OK Dental Providers

Other Provider/Organization Names

Other Name Type Code
Premier Dentures & Implants Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations GREEN COUNTRY DENTURE CENTER, P.C. 1820 Se Washington Blvd, Bartlesville, OK 74006

Office Location

Street Address 1824 S.E . WASHINGTON BLVD.
City BARTLESVILLE
State OK
Zip Code 74006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124646252 Ntcob LLC Family Medicine 234 Se De Bell Ave, Bartlesville, OK 74006 2020-07-06
1053936815 Priscella Ann Caron Nurse Practitioner 226 Se De Bell Ave Building B, Bartlesville, OK 74006 2020-06-08
1508390840 Megan Christopher Student in an Organized Health Care Education/Training Program 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 2017-04-13
1518339811 Dori Raycob Registered Nurse 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 2015-10-26
1023487436 Katherine Marie Anderson Nurse Practitioner 3500 Sw Frank Phillips, Bartlesville, OK 74006 2015-09-16
1033593207 Quanisha Roberson Clinical Nurse Specialist 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 2015-07-16
1588064604 Vance Wayne Blackwell Jr. Counselor 2200 Se Washinton Blvd., Bartlesville, OK 74006 2014-08-26
1619314937 Scott Ethan Sonico Dentist 1224 Se Washington Blvd, Bartlesville, OK 74006 2013-05-28
1417229485 Vernon Lee Newby Veterinarian 817 Madison Blvd., Bartlesville, OK 74006 2012-02-06
1306083720 Sherry M Wilson Counselor 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 2009-01-08
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942653969 Riley Farr Dentist 5401 Taylor Dr, Bartlesville, OK 74006-7827 2016-07-14
1619314937 Scott Ethan Sonico Dentist 1224 Se Washington Blvd, Bartlesville, OK 74006 2013-05-28
1649437914 Ron Hart Dds Dentist 2320 Nowata Pl, Bartlesville, OK 74006-4744 2008-05-22
1710092713 Ronald Joe Hart Dentist 2320 E Nowata Pl, Bartlesville, OK 74006 2006-08-20
1902832264 John B Lard Dentist 1820 Se Washington Blvd, Bartlesville, OK 74006-6734 2006-06-25
1346863131 Jacob Dawson Dentist 5401 Taylor Dr, Bartlesville, OK 74006-7827 2020-05-27
1407344294 David Willardson Dentist 5401 Taylor Dr, Bartlesville, OK 74006-7827 2018-04-26
1104347897 Joseph Willis Dentist 1224 Se Washington Blvd, Bartlesville, OK 74006-4425 2017-07-03
1710272281 Heath Mitchell Potter Dentist 4200 Se Adams Rd, Ste A, Bartlesville, OK 74006-8448 2011-06-13
1023311388 Green Country Dental Arts, PC Dentist 1820 Se Washington Blvd, Bartlesville, OK 74006-6734 2010-12-08
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Competitor

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City BARTLESVILLE
Zip Code 74006

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Dataset Information

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.

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