CUSTOM DENTAL OF PURCELL, PLLC (NPI# 1508195397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508195397 |
| Entity Type | Organization |
| Organization Name | CUSTOM DENTAL OF PURCELL, PLLC |
| Practice Address |
700 Chandler Rd. Purcell OK 73080 |
| Mailing Address |
2001 S Division St Guthrie OK 73044-6063 |
| Practice Telephone | 4052826440 |
| Mailing Telephone | 4052826440 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |
| Authorized Official Name | RYAN LEE TURPIN (DENTIST) |
| Authorized Official Telephone | 4052826440 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6121 | OK | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CUSTOM DENTAL OF PURCELL, PLLC | 700 Chandler Rd, Purcell, OK 73080 |
| Street Address |
700 CHANDLER RD. |
| City | PURCELL |
| State | OK |
| Zip Code | 73080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702981 | Clarissa Shomo | Social Worker | Outpatient Services Purcell- 1726 N. Green Ave, Strong Family Development, Purcell, OK 73080 | 2015-10-07 |
| 1992138614 | Crystal Nicole Navarro | Social Worker | 1726 N. Green Avenue, Purcell, OK 73080 | 2013-08-16 |
| 1417242595 | Jarod D. Allen | Behavioral Analyst | Outpatient Services-purcell-1726 N Green Ave, Strong Family Development, Purcell, OK 73080 | 2011-06-16 |
| 1336387513 | Regina Gail Pereira | Counselor | Outpatient Servies Purcell- 1726 W Green Ave, Strong Family Development, Purcell, OK 73080 | 2009-01-27 |
| 1114182342 | Tenia Ladonna Skinner | Family Medicine | 129 N 3rd Ave Ste C, Purcell, OK 73080 | 2008-07-28 |
| 1164691234 | Carla D Parnacher | Counselor | 1726 N Green Ave Outpatient Services- Purcell, Strong Family Development, Norman, OK 73080 | 2008-02-22 |
| 1932319811 | Amanda Diane Harrington | Marriage & Family Therapist | 1438 Hardcastle Blvd., Medical Family Therapy, Purcell, OK 73080 | 2007-05-22 |
| 1215059464 | Purcell Chiropractic PC | Chiropractor | 1205 N Green Ave, Purcell, OK 73080 | 2007-04-06 |
| 1144365339 | Cynthia Inez Maynard | Marriage & Family Therapist | 1726 North Green Avenue, Strong Family Development-outpatient Services Purcell, Purcell, OK 73080 | 2007-02-21 |
| 1770665572 | Don's Discount Pharmacy | Pharmacy | 204 West Main, Don's Discount Pharmacy, Purcell, OK 73080 | 2006-10-20 |
| Find all providers in zip 73080 | ||||
| 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 |
|---|---|---|---|---|
| 1932181195 | James Noel Herndon | Dentist | 425 W Truman Pl, Purcell, OK 73080-3209 | 2005-11-15 |
| 1063405884 | Darwin James Tims | Dentist | 1939 N Green Ave, Purcell, OK 73080-1733 | 2005-08-26 |
| 1699240317 | Purcell Dental Center LLC | Dentist | 1939 N Green Ave, Purcell, OK 73080 | 2018-10-09 |
| 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 |
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1679183420 | Dentists of Moore and Orthodontics | Dentist | 740 Sw 19th St Ste C, Moore, OK 73160-3062 | 2020-08-06 |
| 1770192635 | Joseph Ghazal | Dentist | 1520 S Main St # 1, Blackwell, OK 74631-4921 | 2020-07-27 |
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1679190953 | Harmon Denture Clinic LLC | Dentist | 104 E Mcelroy Rd Ste 4, Stillwater, OK 74075-3803 | 2020-07-02 |
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1053937854 | Nathan Sethman | Dentist | 1410 N Louis Tittle Ave, Mangum, OK 73554-2218 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
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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.