OLSON DENTAL GROUP, PLLC (NPI# 1225570013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225570013 |
| Entity Type | Organization |
| Organization Name | OLSON DENTAL GROUP, PLLC |
| Practice Address |
6801 Nw 39th Expy Suite A Bethany OK 73008-2501 |
| Mailing Address |
2711 Lbj Fwy Suite 122 Dallas TX 75234-7315 |
| Practice Telephone | 4057871946 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | MATTHEW HALE (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 2147020721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
6801 NW 39TH EXPY SUITE A |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275567695 | Lyn Glezen Brant | Nurse Practitioner | 6801 Nw 39th Expy, Bethany, OK 73008-2501 | 2006-07-10 |
| 1174806822 | Velda Journey | Pharmacist | 6801 Nw 39th Expy, Bethany, OK 73008-2501 | 2011-09-20 |
| 1255522306 | Bethany Medical Clinic, Pllc | Clinic/Center | 6801 Nw 39th Expy, Bethany, OK 73008-2501 | 2007-08-05 |
| 1457568388 | Jennifferr Louise Baird | Registered Nurse | 6801 Nw 39th Expy, Bethany, OK 73008-2501 | 2007-05-17 |
| 1083770358 | Dons Pharmacy Limited | Pharmacy | 6801 Nw 39th Expy, Bethany, OK 73008-2599 | 2006-12-29 |
| 1780618108 | Douglas Wayne Brant Sr. | Family Medicine | 6801 Nw 39th Expy, Bethany, OK 73008-2501 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| Find all providers in zip 73008 | ||||
| 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 |
|---|---|---|---|---|
| 1245404219 | Richard Diotalevi | Dentist | 24 Timber Ln, Bethany, CT 06524-3332 | 2008-04-21 |
| 1538226725 | Francis Alston Davis Jr. | Dentist | 2375 N Thompkins Ave, Bethany, OK 73008-5307 | 2007-01-03 |
| 1407950744 | Lawrence John Olson Jr. | Dentist | 6801 Nw 39th Expressway, Suite A, Bethany, OK 73008-2501 | 2006-09-08 |
| 1609416999 | Mobile Dental Care Associate LLC | Dentist | 55 Sargent Drive, Bethany, CT 06524-3135 | 2020-01-14 |
| 1265984066 | Bethany Dental Group Pllc | Dentist | 6301 Nw 23rd St, Bethany, OK 73008-5931 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239438 | Sleep Healthy Oklahoma LLC | Dentist | 1402 N Van Buren St, Enid, OK 73703-3311 | 2020-06-11 |
| 1407470743 | Tara Renae Littlefield | Dentist | 4770 S Harvard Ave, Tulsa, OK 74135-3024 | 2020-06-02 |
| 1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
| 1679108872 | Better Sleep Solutions Pllc | Dentist | 1828 W Liberty Rd, Atoka, OK 74525-1725 | 2020-03-08 |
| 1447897749 | Hero Dental of South Oklahoma City | Dentist | 825 N Broadway Ave Ste 300, Oklahoma City, OK 73102-6012 | 2019-12-05 |
| 1063062859 | Ryan Fitzgerald | Dentist | 4409 Green View Cir, Norman, OK 73072-3141 | 2019-09-13 |
| 1356902126 | Adrienne Evelyn Wong | Dentist | 1200 Childrens Ave Ste 8f, Oklahoma City, OK 73104-4637 | 2019-06-24 |
| 1619534542 | Isaac Peterson | Dentist | 1413 Meadow Run Dr, Moore, OK 73160-0813 | 2019-05-27 |
| 1619534674 | Andrew Wheatley, Dds Pllc | Dentist | 3924 W Tecumseh Rd, Norman, OK 73072-1707 | 2019-05-24 |
| 1831756220 | Catherine Marie Lee | Dentist | 1408 Teakwood Dr, Norman, OK 73071-2093 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
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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.