DR. PERCY G BOLEN III (NPI# 1548369135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548369135 |
| Entity Type | Individual |
| Full Name | DR. PERCY G BOLEN III |
| Credential | DDS |
| Practice Address |
707 24th Ave Sw Suite 100 Norman OK 73069-3987 |
| Practice Telephone | 4053297936 |
| Practice Fax Number | 4053291722 |
| Mailing Telephone | 4053297936 |
| Mailing Fax Number | 4053291722 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5468 | OK | Dental Providers |
| Street Address |
707 24TH AVE SW SUITE 100 |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932121118 | Wallace George Haskett | Dentist | 707 24th Ave Sw, Suite 201, Norman, OK 73069-3987 | 2006-07-24 |
| 1346781960 | Gary S. Lawhon, D.d.s. | Dentist | 707 24th Ave Sw, Suite 102, Norman, OK 73069-3987 | 2017-03-15 |
| 1629488770 | Stacia M. Dowell Dds, Pllc | Health Maintenance Organization | 707 24th Ave Sw, Norman, OK 73069-3987 | 2014-04-29 |
| 1467899401 | Stacia Marie Dowell | Dentist | 707 24th Ave Sw, Norman, OK 73069-3987 | 2013-05-31 |
| 1710141676 | Spencer P Hinckley | Dentist | 707 24th Ave Sw, Suite 100, Norman, OK 73069-3987 | 2008-07-10 |
| 1356501928 | Norman Periodontics & Dental Implants, PC | Dentist | 707 24th Ave Sw, Suite 202, Norman, OK 73069-3987 | 2008-06-16 |
| 1124285903 | William J. Skaggs, D.d.s.,p.c. | Dentist | 707 24th Ave Sw, Suite 200, Norman, OK 73069-3987 | 2008-05-20 |
| 1295900934 | Wallace G Haskett Dds PC | Dentist | 707 24th Ave Sw, Norman, OK 73069 | 2008-04-24 |
| 1265619886 | Terry D. Blackburne | Dentist | 707 24th Ave Sw, Suite 202, Norman, OK 73069-3987 | 2008-01-25 |
| 1699965194 | Endodontic Practice Associates, Pllc | Dentist | 707 24th Ave Sw, Suite 100, Norman, OK 73069-3987 | 2007-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861532616 | Steven Eugene Powell | Dentist | 410 24th Ave Sw, Norman, OK 73069-5110 | 2007-02-08 |
| 1366005159 | Norman Endodontics Pllc | Dentist | 410 24th Ave Sw, Norman, OK 73069-5110 | 2019-04-17 |
| 1710141676 | Spencer P Hinckley | Dentist | 707 24th Ave Sw, Suite 100, Norman, OK 73069-3987 | 2008-07-10 |
| 1699965194 | Endodontic Practice Associates, Pllc | Dentist | 707 24th Ave Sw, Suite 100, Norman, OK 73069-3987 | 2007-07-31 |
| 1598864175 | John T Biggs | Dentist | 707 24th Ave Sw, Suite 100, Norman, OK 73069-3987 | 2006-09-21 |
| 1902905490 | James B Roane | Dentist | 707 24th Ave Sw, Suite 100, Norman, OK 73069-3987 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891008272 | Reham El-hennawey | Dentist | 400 Riverwalk Ter, Ste 200, Jenks, OK 74037-5606 | 2010-07-14 |
| 1770713729 | Eugenia Johnson | Dentist | 4416 W Houston St, Broken Arrow, OK 74012-4645 | 2009-07-23 |
| 1013187186 | Denny W Southard | Dentist | 6565 S Yale Ave Ste 712, Tulsa, OK 74136-8308 | 2008-03-05 |
| 1972703734 | J. Mike Strand | Dentist | 4420 W Houston St, Broken Arrow, OK 74012-4645 | 2007-07-20 |
| 1629290242 | Kim Loren Wilkinson | Dentist | 13851 Quail Pointe Dr, Oklahoma City, OK 73134-1021 | 2007-05-03 |
| 1336366244 | Jackson L. Sullivan D.d.s., P.C. | Dentist | 609 S Kelly Ave Ste E1, Edmond, OK 73003-7501 | 2007-04-20 |
| 1992843965 | Jay Scott Sullins | Dentist | 8504 Nw Cache Rd, Lawton, OK 73505-9604 | 2007-02-02 |
| 1760536866 | David W Pedicord | Dentist | 4606 E 67th Street, Suite 208, Tulsa, OK 74136 | 2007-01-23 |
| 1437207560 | David J Clement | Dentist | 1201 N Stonewall Ave., Ouhsc College of Dentistry, Oklahoma City, OK 73117 | 2007-01-08 |
| 1982616256 | William Lee Beasley I | Dentist | 4500 Memorial Cir, Oklahoma City, OK 73142-5003 | 2006-08-13 |
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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.