HERO DENTAL OF SOUTH OKLAHOMA CITY (NPI# 1447897749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447897749 |
| Entity Type | Organization |
| Organization Name | HERO DENTAL OF SOUTH OKLAHOMA CITY |
| Practice Address |
825 N Broadway Ave Ste 300 Oklahoma City OK 73102-6012 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 7195761850 |
| Mailing Telephone | 7195761850 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | SHAUN URBANOZO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7195761850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Adventure Dental Vision and Orthodontics | Doing Business As Name - Organization |
| Street Address |
825 N BROADWAY AVE STE 300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| 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 |
|---|---|---|---|---|
| 1356902126 | Adrienne Evelyn Wong | Dentist | 1200 Childrens Ave Ste 8f, Oklahoma City, OK 73104-4637 | 2019-06-24 |
| 1689133126 | Sdc Dental Practice of Ohio, LLC | Dentist | 7101 Nw 150th St Ste 100, Oklahoma City, OK 73142-9716 | 2019-03-14 |
| 1811483910 | Sarah Khyati | Dentist | 440 N Portland Ave # 1000, Oklahoma City, OK 73107-6110 | 2018-07-02 |
| 1881180974 | Hayden Fuller | Dentist | 1201 N Stonewall Ave # Dcsb253, Oklahoma City, OK 73117-1214 | 2018-07-02 |
| 1093206823 | Brian Bailey Howell | Dentist | 8200 Nw 106th Cir, Oklahoma City, OK 73162-8214 | 2018-05-29 |
| 1386135002 | Jeffrey Alan Scammahorn II | Dentist | 11317 S Western Ave Ste 500, Oklahoma City, OK 73170-5851 | 2018-05-29 |
| 1164936282 | Parkway Dental Group Pllc | Dentist | 3727 Nw 63rd St Ste 107, Oklahoma City, OK 73116-1923 | 2017-11-28 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1184154023 | Derek Ray Cohlmia | Dentist | 4301 Nw 63rd St Ste 303, Oklahoma City, OK 73116-1504 | 2017-06-14 |
| 1770026841 | Cory Chambers | Dentist | 12321 N. Council Rd, Oklahoma City, OK 73162 | 2016-11-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
Please comment or provide details below to improve the information on HERO DENTAL OF SOUTH OKLAHOMA CITY.
| 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.