JUSTIN ROBERTS (NPI# 1548754054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548754054 |
| Entity Type | Individual |
| Full Name | JUSTIN ROBERTS |
| Credential | DDS |
| Practice Address |
301 S J T Stites St Sallisaw OK 74955-9302 |
| Mailing Address |
401 Honor Heights Dr Muskogee OK 74401-2340 |
| Practice Telephone | 9187759150 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7068 | OK | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 206 E Downing St, Tahlequah, OK 744643000 | 9184560977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962953158 | Justin Roberts | Nurse Practitioner | 333 S 38th St Ste E, Muskogee, OK 74401-4937 | 2016-10-22 |
| 1073880746 | Justin L Roberts | Dentist | 807 Spring Forest Road, Raleigh, NC 27609 | 2011-11-24 |
| 1619057064 | Justin W. Roberts | Otolaryngology | 501 West Pine Street, Farmington, MO 63640 | 2006-10-17 |
| 1407481146 | Justin Hugh Roberts | Physician Assistant | 901 18th St E, Tifton, GA 31794-3648 | 2020-03-03 |
| 1063045425 | Justin Ryan Roberts | Pharmacist | 2950 S Newburgh Rd, Wayne, MI 48184-1002 | 2020-02-13 |
| 1083260749 | Justin Roberts | Behavioral Analyst | 600 N 1st St, Las Vegas, NV 89101-1904 | 2019-08-16 |
| 1881172419 | Justin Roberts | Optometrist | 623 Atwells Ave, Providence, RI 02909-7403 | 2018-08-06 |
| 1255887915 | Justin Roberts | Spec/Tech, Pathology | 2100 Stantonsburg Rd, Greenville, NC 27834-6028 | 2016-08-31 |
| 1174978563 | Justin Douglas Roberts | Student in an Organized Health Care Education/Training Program | 355 Grand St, Jersey City, NJ 07302-4321 | 2016-05-04 |
| 1780047340 | Justin Roberts | Physical Therapist | 4100 Lake Otis Pkwy Ste 106, Anchorage, AK 99508-5230 | 2016-03-31 |
| Street Address |
301 S J T STITES ST |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-9302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801803846 | Cherokee Nation | Durable Medical Equipment & Medical Supplies | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2006-08-02 |
| 1932707767 | Sarah Coleman Stewart | Social Worker | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2020-10-14 |
| 1730703760 | Bradan Miller O'dell | Nurse Practitioner | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2020-06-05 |
| 1003437757 | Dominique Burdette | Dental Hygienist | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2020-05-05 |
| 1851924914 | Erika L Johnson | Licensed Practical Nurse | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2020-02-18 |
| 1619533700 | Ragan Birckel | Nurse Practitioner | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2019-05-14 |
| 1558826172 | Terri Leigh Long | Registered Nurse | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2019-02-07 |
| 1073078358 | Eva L Neel | Licensed Practical Nurse | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2019-01-31 |
| 1548724156 | Cheryl Dean Christian | Registered Nurse | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2019-01-28 |
| 1477017101 | Craig Franklin Edgmon II | Licensed Practical Nurse | 301 S J T Stites St, Sallisaw, OK 74955-9302 | 2019-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| 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 |
|---|---|---|---|---|
| 1104080431 | Michael Aaron Sweeney | Dentist | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239438 | Sleep Healthy Oklahoma LLC | Dentist | 1402 N Van Buren St, Enid, OK 73703-3311 | 2020-06-11 |
| 1407470743 | Tara Renae Littlefield | Dentist | 4770 S Harvard Ave, Tulsa, OK 74135-3024 | 2020-06-02 |
| 1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
| 1679108872 | Better Sleep Solutions Pllc | Dentist | 1828 W Liberty Rd, Atoka, OK 74525-1725 | 2020-03-08 |
| 1447897749 | Hero Dental of South Oklahoma City | Dentist | 825 N Broadway Ave Ste 300, Oklahoma City, OK 73102-6012 | 2019-12-05 |
| 1063062859 | Ryan Fitzgerald | Dentist | 4409 Green View Cir, Norman, OK 73072-3141 | 2019-09-13 |
| 1356902126 | Adrienne Evelyn Wong | Dentist | 1200 Childrens Ave Ste 8f, Oklahoma City, OK 73104-4637 | 2019-06-24 |
| 1619534542 | Isaac Peterson | Dentist | 1413 Meadow Run Dr, Moore, OK 73160-0813 | 2019-05-27 |
| 1619534674 | Andrew Wheatley, Dds Pllc | Dentist | 3924 W Tecumseh Rd, Norman, OK 73072-1707 | 2019-05-24 |
| 1831756220 | Catherine Marie Lee | Dentist | 1408 Teakwood Dr, Norman, OK 73071-2093 | 2019-05-22 |
| 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.