DR. WILLIAM DUDLEY JETT (NPI# 1396753364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396753364 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM DUDLEY JETT |
| Credential | D.D.S. |
| Practice Address |
1215 E Wrangler Blvd Seminole OK 74868-3511 |
| Practice Telephone | 4053825113 |
| Practice Fax Number | 4053821620 |
| Mailing Telephone | 4053825113 |
| Mailing Fax Number | 4053821620 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4251 | OK | Dental Providers |
| Street Address |
1215 E WRANGLER BLVD |
| City | SEMINOLE |
| State | OK |
| Zip Code | 74868-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396266 | Jennifer Leeann Richardson | Counselor | 35859 E.w. 1210, Seminole, OK 74868 | 2018-12-03 |
| 1518449461 | Dana Marie Hobbs | Counselor | 101 N Union, Seminole, OK 74868 | 2018-09-06 |
| 1790159382 | Carissa Nicole Kelley | Counselor | 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK 74868 | 2015-11-19 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1528377066 | Lisa Young | Case Manager/Care Coordinator | 12880 Ns 358 Rd, Seminole, OK 74868 | 2010-10-01 |
| 1346567997 | Don Allen Mace | Internal Medicine | 2201 Northwood Ave, Seminole, OK 74868 | 2010-04-22 |
| 1508922295 | Medicus | Ambulance | 900 N. Harvey, Suite A, Seminole, OK 74868 | 2006-12-28 |
| 1538278411 | Quality Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 2005 W Wrangler Blvd, Seminole, OK 74868 | 2006-08-30 |
| 1922041151 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 760 N Harvey Rd, Seminole, OK 74868 | 2006-06-14 |
| 1760487243 | Tricia Lee Butner | Nurse Practitioner | 2403 W Wrangler Blvd Ste A, Seminole, OK 74868 | 2005-06-20 |
| Find all providers in zip 74868 | ||||
| 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 |
|---|---|---|---|---|
| 1508166695 | Brian R Beirl | Dentist | 7603 Seminole Blvd Ste B, Seminole, FL 33772-4888 | 2010-10-24 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1194037218 | Dennis Harris, D.d.s., Inc | Dentist | 2424 N Milt Phillips Ave, Seminole, OK 74868-2350 | 2010-07-06 |
| 1598932865 | Monica Marie Doyle | Dentist | 11240 Park Blvd, Seminole, FL 33772-4713 | 2008-05-14 |
| 1174710594 | David Wendell Keck | Dentist | 400 Jefferson St, Seminole, OK 74868-3141 | 2007-09-30 |
| 1346460961 | Trudi Price Massaro | Dentist | 7676 131st St. North, Seminole, FL 33776-4011 | 2007-04-26 |
| 1275757676 | Susan Denise Anderson | Dentist | 11179 Park Blvd Ste 13, Seminole, FL 33772-4709 | 2007-04-13 |
| 1740295674 | Chris Thomas Wujick | Dentist | 8475 Seminole Blvd, Seminole, FL 33772-4329 | 2006-07-29 |
| 1144290149 | Rebecca L. Orsini | Dentist | 13100 Park Blvd, Suite D, Seminole, FL 33776-3539 | 2006-01-24 |
| 1558352575 | Adam J Bressler | Dentist | 8381 Seminole Blvd, Seminole, FL 33772-4345 | 2005-10-31 |
| Find all providers in SEMINOLE | ||||
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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.