ROGER POTTS DENTAL GROUP, PC (NPI# 1396787909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396787909 |
| Entity Type | Organization |
| Organization Name | ROGER POTTS DENTAL GROUP, PC |
| Other Organization Name | GENTLE DENTAL COURTYARD PLAZA |
| Practice Address |
6401 Nw Expressway Suite 100 Oklahoma City OK 73132-5170 |
| Mailing Address |
9800 S La Cienega Blvd Ste 899, Room 6 Inglewood CA 90301-4440 |
| Practice Telephone | 4057217442 |
| Practice Fax Number | 4057222841 |
| Mailing Telephone | 2094764700 |
| Mailing Fax Number | 2094786890 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | ROGER G POTTS (PC OWNER) |
| Authorized Official Telephone | 4057217442 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Gentle Dental Courtyard Plaza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033519012 | Roger Potts Dental Group, PC | Dentist | 1333 N Santa Fe Ave Ste 105, Edmond, OK 73003-3677 | 2014-08-27 |
| 1932396769 | Roger Potts Dental Group, PC | Dentist | 201 S Macarthur Blvd, Oklahoma City, OK 73128-1006 | 2007-09-25 |
| 1801838446 | Roger Potts Dental Group, PC | Dentist | 515 S Broadway, Edmond, OK 73034-3851 | 2006-06-11 |
| 1093757437 | Roger Potts Dental Group, PC | Dentist | 304 S Air Depot Blvd, Midwest City, OK 73110-4433 | 2006-06-11 |
| 1881636561 | Roger Potts Dental Group, PC | Dentist | 1740 N Service Rd, Moore, OK 73160-3307 | 2006-06-10 |
| 1699717371 | Roger Potts Dental Group, PC | Dentist | 6002 S Western Ave, Oklahoma City, OK 73139-1602 | 2006-06-10 |
| 1740355205 | Roger Potts Dental Group, PC | Dentist | 7001 N May Ave, Oklahoma City, OK 73116-3248 | 2006-11-21 |
| Street Address |
6401 NW EXPRESSWAY SUITE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73132-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053306985 | Jimmy Dean Swan II | Dentist | 6401 Nw Expressway, Suite 132, Oklahoma City, OK 73132-5170 | 2005-09-16 |
| 1205386828 | The Lasik Vision Institute LLC | Clinic/Center | 6401 Nw Expressway, Suite 106, Oklahoma City, OK 73132-5170 | 2016-10-06 |
| 1831645696 | The Cataract Vision Institute LLC | Clinic/Center | 6401 Nw Expressway, Suite 106, Oklahoma City, OK 73132-5170 | 2016-08-31 |
| 1801223953 | Robert N. Goodhead, Od | Optometrist | 6401 Nw Expressway, Suite 130, Oklahoma City, OK 73132-5170 | 2013-10-03 |
| 1770896201 | Charles H Vanaki | Optometrist | 6401 Nw Expressway, Ste 106, Oklahoma City, OK 73132-5142 | 2010-07-26 |
| 1447391883 | The Lasik Vision Institute LLC | Optometrist | 6401 Nw Expressway, Suite 106, Oklahoma City, OK 73132-5170 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790348266 | Solid Rock Home Care Assistance LLC | Registered Nurse | 6408 Galaxie Dr., Oklahoma City, OK 73132 | 2019-04-19 |
| 1427525443 | Allison Latham | Counselor | 6812 St. Pl., Oklahoma City, OK 73132 | 2018-10-29 |
| 1811426182 | Larry D. Brown | Counselor | 4717 Nw 70th St., Oklahoma City, OK 73132 | 2017-06-08 |
| 1639600307 | Tram Nguyen | Physician Assistant | 500 Sw44th Street, Oklahoma City, OK 73132 | 2017-03-24 |
| 1386190973 | Moneka Jeffers | Counselor | 8117 Nw 81st St, Oklahoma City, OK 73132 | 2016-09-01 |
| 1861873085 | Express Family Care LLC | Clinic/Center | 7117 W. Wilshire Blvd, Oklahoma City, OK 73132 | 2015-06-12 |
| 1689941809 | Ade A Bajulaiye | Psychologist | 8122 N.w. 78th Ter, Okc, Oklahoma, OK 73132 | 2011-11-17 |
| 1457633281 | Chandell Bell | Counselor | 6908 Woodlake Dr, Okc, OK 73132 | 2011-09-19 |
| 1588944615 | Jason Bennell Rayfield | Social Worker | 7221 Edenborough, Oklahoma City, OK 73132 | 2011-08-20 |
| 1952600785 | Derell Jovan Spires | Counselor | 9242 North Mcarthur Blvd Apt A, Oklahoma City, OK 73132 | 2011-03-18 |
| Find all providers in zip 73132 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1255960399 | Graden Trumble | Dentist | 1201 N Stonewall Ave Rm 452, Oklahoma City, OK 73117-1214 | 2020-04-01 |
| 1790322543 | Easy Dental South Pllc | Dentist | 10001 S Penn Ave Ste 22, Oklahoma City, OK 73159-6923 | 2019-11-27 |
| 1922643543 | Dental Boutique Pllc | Dentist | 3621 Nw 63rd St Ste C, Oklahoma City, OK 73116-2041 | 2019-11-07 |
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1326556242 | Steve Huy Truong, Dds, Pllc | Dentist | 16 Ne 2nd St Ste B, Oklahoma City, OK 73104-2210 | 2018-01-12 |
| 1326576497 | Noel Robert Williams Jr. | Dentist | 1325 N Walker Ave Apt 204, Oklahoma City, OK 73103-6414 | 2017-06-01 |
| 1790213486 | Ty Allen Mays Jr. | Dentist | 25 N Rockwell Ave, Oklahoma City, OK 73127-6112 | 2017-05-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73132 |
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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.