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).
| 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 |
| 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 Name | Type Code |
|---|---|
| Premier Dentures & Implants | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | GREEN COUNTRY DENTURE CENTER, P.C. | 1820 Se Washington Blvd, Bartlesville, OK 74006 |
| Street Address |
1824 S.E . WASHINGTON BLVD. |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006 |
| 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 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| 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 |
| Find all providers in BARTLESVILLE | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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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.