IMPRESSIONS DENTAL OF HARRAH (NPI# 1225657133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225657133 |
Entity Type | Organization |
Organization Name | IMPRESSIONS DENTAL OF HARRAH |
Practice Address |
20926 Se 29th St Ste A Harrah OK 73045-6610 |
Practice Telephone | 4054456999 |
Practice Fax Number | 4054457223 |
Mailing Telephone | 4054456999 |
Mailing Fax Number | 4054457223 |
Enumeration Date | 2020-04-10 |
Last Update Date | 2020-04-10 |
Authorized Official Name | MS. KARA DEANN ARNETT (OFFICE MANAGER) |
Authorized Official Telephone | 4054456999 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
20926 SE 29TH ST STE A |
City | HARRAH |
State | OK |
Zip Code | 73045-6610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669974085 | Hunter Denton | Chiropractor | 1069 N. Harrah Rd., Harrah, OK 73045 | 2018-03-01 |
1447643978 | Lakepointe Dental Clinic of Harrah, Inc. | Clinic/Center | 20926 Se 29th St., A, Harrah, OK 73045 | 2015-03-09 |
1295162550 | Harrah Eye Clinic Pllc | Optometrist | 1087 N Harrah Rd, Harrah, OK 73045 | 2013-10-02 |
1568650471 | Eric D Kyrk Dds PC | Clinic/Center | 2405 Cappella Blvd, Harrah, OK 73045 | 2007-10-05 |
1467583245 | Eric D. Kyrk | Dentist | 2405 Cappella Blvd., Harrah, OK 73045 | 2007-03-07 |
1124040290 | Regina Renee Jacobs | Specialist | 19629 Ne 23rd St, Harrah, OK 73045 | 2006-07-24 |
1942368667 | Harrah Pharmacy Inc. | Pharmacy | 2060 N Church, Harrah, OK 73045-0247 | 2006-12-05 |
1023042314 | Harrah Pharmacy Inc. | Pharmacist | 2060 N Church Ave, Harrah, OK 73045-0247 | 2006-07-10 |
1659485118 | Amos Malone | Pharmacist | 2060 N Church Ave, Harrah, OK 73045-0247 | 2006-08-19 |
1346470606 | Michael Steven Reed Jr. | Family Medicine | 2171 Community Pl, Harrah, OK 73045-1118 | 2009-07-21 |
Find all providers in zip 73045 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447643978 | Lakepointe Dental Clinic of Harrah, Inc. | Clinic/Center | 20926 Se 29th St., A, Harrah, OK 73045 | 2015-03-09 |
1568650471 | Eric D Kyrk Dds PC | Clinic/Center | 2405 Cappella Blvd, Harrah, OK 73045 | 2007-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609474758 | Sand Springs Dentistry and Braces | Clinic/Center | 152 W. Alexander Blvd, Ste E, Sand Springs, OK 74063 | 2020-10-12 |
1831796580 | Perry Smiles LLC | Clinic/Center | 505 N 14th St Ste B, Perry, OK 73077-5000 | 2020-10-06 |
1518578095 | Summer Dental Midwest City, Pllc | Clinic/Center | 1900 S Air Depot Blvd Ste 1, Midwest City, OK 73110-5522 | 2020-08-10 |
1922626639 | Dental Lodge of Purcell | Clinic/Center | 1929 S Green Ave, Purcell, OK 73080-6203 | 2020-07-09 |
1821616533 | Enhance Dental of Norman | Clinic/Center | 1049 12th Ave Ne # 100, Norman, OK 73071-5312 | 2020-07-09 |
1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
1265052062 | Ada Dentistry and Braces | Clinic/Center | 931 Arlington St Ste 3, Ada, OK 74820-4025 | 2020-04-21 |
1063041275 | Fleming Dental Co Pllc | Clinic/Center | 13316 S Western Ave Ste B, Oklahoma City, OK 73170-7309 | 2020-04-08 |
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.