DR. SCOTT DOUGLAS STREET (NPI# 1407384639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407384639 |
| Entity Type | Individual |
| Full Name | DR. SCOTT DOUGLAS STREET |
| Credential | DDS |
| Practice Address |
5510 E 41st St Ste C Tulsa OK 74135-6009 |
| Mailing Address |
10628 E 74th St Tulsa OK 74133-2540 |
| Practice Telephone | 9183476092 |
| Practice Fax Number | 9188287364 |
| Mailing Telephone | 9186717345 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6916 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568027977 | Scott Street | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-05-01 |
| 1700014271 | Scott Street | Family Medicine | 1010 N. Kansas, Wcgme, Wichita, KS 67214 | 2009-06-23 |
| 1912183674 | Scott Benson Street | Specialist/Technologist | 59 College Ave, Msc 71, Buckhannon, WV 26201-2600 | 2008-01-12 |
| Street Address |
5510 E 41ST ST STE C |
| City | TULSA |
| State | OK |
| Zip Code | 74135-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329260 | Jonathan Chu-ming Soetandio | Dentist | 5510 E 41st St Ste C, Tulsa, OK 74135-6009 | 2020-09-03 |
| 1730792714 | Silvia Castro | Dentist | 5510 E 41st St Ste C, Tulsa, OK 74135-6009 | 2020-08-28 |
| 1396226262 | Sonali Banerjee | Dentist | 5510 E 41st St Ste C, Tulsa, OK 74135-6009 | 2018-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| 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 |
|---|---|---|---|---|
| 1407470743 | Tara Renae Littlefield | Dentist | 4770 S Harvard Ave, Tulsa, OK 74135-3024 | 2020-06-02 |
| 1548779135 | Dental Depot of I-44 & Harvard, Pllc | Dentist | 4770 S. Harvard Ave., Tulsa, OK 74135-3024 | 2017-09-26 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1225566821 | Linda Jeanette Loscuito | Dentist | 5540 S 79th East Pl, Tulsa, OK 74145-7846 | 2017-05-25 |
| 1720514805 | Cardelyn Dds Inc PC | Dentist | 10342 E 21st St, Tulsa, OK 74129-1606 | 2017-05-10 |
| 1104272913 | Healthy Smiles Family Dentistry Pllp | Dentist | 1326 E 43rd Ct, Ste 100, Tulsa, OK 74105-4154 | 2016-05-11 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| 1588071823 | Ryan Coursey | Dentist | 7891 E 108th St, Suite X-4, Tulsa, OK 74133-7405 | 2014-07-18 |
| 1235560194 | D-link Dental Network | Dentist | 1647 E 61st St, Tulsa, OK 74136-0712 | 2013-12-03 |
| Find all providers in TULSA | ||||
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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.