PROFESSIONAL DENTAL SERVICES INC (NPI# 1518121342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518121342 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL SERVICES INC |
| Practice Address |
9822 Ne 23rd Oklahoma City OK 73141 |
| Practice Telephone | 4057694445 |
| Mailing Telephone | 4057694445 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | DR. ROBERT L. PHILLIPS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4057694445 |
| 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 |
| Street Address |
9822 NE 23RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225329022 | Katawna J Stephens | Behavioral Analyst | 9816 Mark Trail, Oklahoma City, OK 73141 | 2011-04-27 |
| 1023315058 | Chantal Z Wandick | Counselor | 5915 Ne 63rd, Oklahoma City, OK 73141 | 2011-02-28 |
| 1346358215 | Dr Karen B Rattan & Assoc P.C. | Dentist | 10420 Ne 23rd Street, Oklahoma City, KS 73141 | 2006-08-29 |
| 1508960899 | David George Hall | Pharmacist | 12716 N.e. 36th Street, Oklahoma City, OK 73141 | 2006-09-08 |
| 1225345408 | Crutcho School District | Local Education Agency (LEA) | 2401 N Air Depot Blvd, Oklahoma City, OK 73141-1407 | 2010-09-09 |
| 1902918915 | Oklahoma County Clinic Phcy | Pharmacy | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2006-08-31 |
| 1174156566 | Damion Dwan Gilbreath I | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-13 |
| 1811520208 | Dangelo Mccorvey | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-13 |
| 1326670027 | Marcus Deshon Flynn | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-10 |
| 1053943753 | Clyde Richard Hodges Jr. | Counselor | 7401 Ne 23rd St, Oklahoma City, OK 73141-1420 | 2020-02-10 |
| Find all providers in zip 73141 | ||||
| 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 | 73141 |
Please comment or provide details below to improve the information on PROFESSIONAL DENTAL SERVICES INC.
| 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.