DR. RONALD EUGENE BAJUSCAK (NPI# 1568697001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568697001 |
| Entity Type | Individual |
| Full Name | DR. RONALD EUGENE BAJUSCAK |
| Credential | DMD |
| Practice Address |
19511 E 49th St S Broken Arrow OK 74014-1494 |
| Mailing Address |
Po Box 141046 Broken Arrow OK 74014-0010 |
| Practice Telephone | 5206091062 |
| Mailing Telephone | 5206091062 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D4632 | AZ | Dental Providers |
| Street Address |
19511 E 49TH ST S |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-1494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| Find all providers in zip 74014 | ||||
| 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 |
|---|---|---|---|---|
| 1275190639 | Douglas Scott Kooken II | Dentist | 1950 W Kenosha St, Broken Arrow, OK 74012-8944 | 2019-05-21 |
| 1083062004 | Angela J Rhodes | Dentist | 2311 N 9th St Ste 102, Broken Arrow, OK 74012-2887 | 2016-05-31 |
| 1508279019 | Jordon Caine Smith | Dentist | 427 West Stone Wood Drive, Broken Arrow, OK 74012 | 2014-06-03 |
| 1396188116 | Michael Anthony Lloyd | Dentist | 1230 E Hillside Dr, Broken Arrow, OK 74012 | 2013-04-10 |
| 1831418201 | Terry Robert Root | Dentist | 58 St Andrews Cir, Broken Arrow, OK 74011-1107 | 2010-05-25 |
| 1811086846 | Valerie Van Holleman | Dentist | 1656 N 9th St, Broken Arrow, OK 74012-8495 | 2006-10-11 |
| 1699791145 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 1139 E Kenosha St, Broken Arrow, OK 74012-2006 | 2006-07-15 |
| 1487628731 | Randy J Fagan | Dentist | 2221 W Washington St, Broken Arrow, OK 74012-6726 | 2006-02-14 |
| 1124020326 | Steven W Hogg | Dentist | 423 W Washington St, Broken Arrow, OK 74012-6450 | 2005-06-01 |
| 1346724044 | Kenosha Breeze Family Dental Pllc | Dentist | 901 W Kenosha St, Broken Arrow, OK 74012-8918 | 2018-09-18 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74014 |
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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.