MARK JAY ALLEN (NPI# 1295742013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295742013 |
| Entity Type | Individual |
| Full Name | MARK JAY ALLEN |
| Credential | D.D.S. |
| Practice Address |
519 S Santa Fe Ave Edmond OK 73003-6281 |
| Practice Telephone | 4058446100 |
| Practice Fax Number | 4058446172 |
| Mailing Telephone | 4058446100 |
| Mailing Fax Number | 4058446172 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4333 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720539406 | Mark Allen | Nursing Facility/Intermediate Care Facility | 219 Deerfoot Trl, Kalispell, MT 59901-8725 | 2016-10-18 |
| 1942509559 | Mark Allen | Counselor | 1384 W Ellery Way, Fresno, CA 93711-2014 | 2011-03-22 |
| 1124339676 | Mark Allen | Orthopaedic Surgery | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 | 2010-06-30 |
| 1134283765 | Mark S Allen | Dentist | 1716 Ashley Cir, Bowling Green, KY 42104-3366 | 2006-12-20 |
| 1952471617 | Mark Allen | Chiropractor | 434 S Green St, Henderson, KY 42420-3517 | 2006-11-09 |
| 1306934708 | Mark A. Allen | Chiropractor | 2525 California St, Suite A&b, Columbus, IN 47201-3678 | 2006-10-11 |
| 1467551549 | Mark H Allen | Optometrist | 4810 Lakeland Dr, Flowood, MS 39232-8694 | 2006-09-22 |
| 1700842549 | Mark Allen | Dentist | 151 North Main St, Hardwick, VT 05843 | 2006-04-21 |
| 1932187507 | Mark Daniel Allen | Nurse Practitioner | 1400 Willow Lane, Manchester, TN 37355 | 2006-01-04 |
| 1790768182 | Mark Erich Allen | Chiropractor | 894 Broadway, South Portland, ME 04106-4350 | 2005-11-21 |
| Street Address |
519 S SANTA FE AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-6281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972094001 | Ryan Joel Flake | Dentist | 519 S Santa Fe Ave, Edmond, OK 73003-6281 | 2018-05-24 |
| 1235305814 | Allen and Hansen Dentistry Partnership | Dentist | 519 S Santa Fe Ave, Edmond, OK 73003-6281 | 2008-05-05 |
| 1255349312 | Michael Hansen | Dentist | 519 S Santa Fe Ave, Edmond, OK 73003-6281 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| 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 |
|---|---|---|---|---|
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| 1831633296 | Jessie Kierl | Dentist | 2509 Thunderwind Cir, Edmond, OK 73034-6880 | 2016-12-05 |
| 1851762942 | Sneha Bharat Patel | Dentist | 4625 Shades Bridge Rd, Edmond, OK 73034-0835 | 2015-10-14 |
| 1194106013 | Perkins Dental Group | Dentist | 3901 E Covell Rd, Edmond, OK 73034-6909 | 2015-06-16 |
| 1831587575 | Legacy Dental Group | Dentist | 3901 E Covell, Edmond, OK 73034 | 2015-01-05 |
| 1285070805 | Deren Flesher | Dentist | 1308 N Kelly Ave, Edmond, OK 73003-3906 | 2013-05-22 |
| 1902242522 | Beau Porter | Dentist | 1616 S Boulevard, Edmond, OK 73013-5155 | 2013-05-22 |
| 1023245784 | Mathew Dean Hookom | Dentist | 3225 Teakwood Ln, Edmond, OK 73013-3721 | 2009-06-19 |
| 1255575502 | Tate Montgomery | Dentist | 3824 S Boulevard Ste 110, Edmond, OK 73013-5779 | 2009-04-29 |
| 1871754440 | Comprehensive Dental and Oral Care | Dentist | 1713a W 33rd St, Edmond, OK 73013-3819 | 2008-06-17 |
| Find all providers in EDMOND | ||||
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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.