OKC DENTAL HEALTH ASSOCIATES, P.C. (NPI# 1568882066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568882066 |
| Entity Type | Organization |
| Organization Name | OKC DENTAL HEALTH ASSOCIATES, P.C. |
| Other Organization Name | MY DENTIST-MIDTOWN ORTHODONTICS |
| Practice Address |
1420 S Lewis Ave Tulsa OK 74104-4641 |
| Practice Telephone | 9187948101 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | HANNAH FISH (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405699 |
| Is Organization Subpart | Y |
| Parent Organization Name | OKC DENTAL HEALTH ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| My Dentist-Midtown Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245650829 | Okc Dental Health Associates, P.C. | Dentist | 1011 E Taft Ave, Sapulpa, OK 74066-5730 | 2014-04-22 |
| 1457771032 | Okc Dental Health Associates, P.C. | Dentist | 3451 W Kenosha St, Broken Arrow, OK 74012-8949 | 2014-04-22 |
| 1093135675 | Okc Dental Health Associates, P.C. | Dentist | 12106 S Memorial Dr, Bixby, OK 74008-2508 | 2014-04-22 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1982024840 | Okc Dental Health Associates, P.C. | Dentist | 9072 W Highway 70, Durant, OK 74701-6513 | 2014-04-18 |
| 1154741023 | Okc Dental Health Associates, P.C. | Dentist | 3201 W Broadway St, Muskogee, OK 74401-2132 | 2014-04-18 |
| 1942620885 | Okc Dental Health Associates, P.C. | Dentist | 1900 S Air Depot Blvd, Suite 1, Midwest City, OK 73110-5522 | 2014-04-18 |
| 1942620893 | Okc Dental Health Associates, P.C. | Dentist | 1430 Lonnie Abbott Blvd, Ada, OK 74820-1851 | 2014-04-18 |
| 1013337955 | Okc Dental Health Associates, P.C. | Dentist | 14221 N Pennsylvania Ave, Suite C, Oklahoma City, OK 73134-6096 | 2014-04-18 |
| 1750701603 | Okc Dental Health Associates, P.C. | Dentist | 2401 12th Ave Nw Ste 103, Ardmore, OK 73401-1471 | 2014-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKC DENTAL HEALTH ASSOCIATES, P.C. | 2111 Nw Cache Rd, Lawton, OK 73505-5213 |
| Street Address |
1420 S LEWIS AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336400134 | Ronisha Gale Durham | Dentist | 1420 S Lewis Ave, Tulsa, OK 74104 | 2012-06-07 |
| 1962822387 | Rodney P. Steffen, Dds, PC | Dentist | 1420 S Lewis Ave, Tulsa, OK 74104-4641 | 2014-04-24 |
| 1013337518 | Okc Dental Health Associates, P.C. | Dentist | 1420 S Lewis Ave, Tulsa, OK 74104-4641 | 2014-04-23 |
| 1396165254 | Okc Dental Health Associates, P.C. | Dentist | 1420 S Lewis Ave, Tulsa, OK 74104-4641 | 2014-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548478381 | Anand N. Patel P.C. | Dentist | 4550 S Harvard Ave, Tulsa, OK 74135-2906 | 2007-05-17 |
| 1104041920 | Jonathan Scott Cooper | Dentist | 3916 E 91st St, Tulsa, OK 74137-3602 | 2007-04-16 |
| 1174669527 | Kirkpatrick & Lai Dds Inc PC | Dentist | 5304 S Harvard Ave, Tulsa, OK 74135-3817 | 2007-01-30 |
| 1124199807 | Blake R. Henry | Dentist | 7705 E 81st St, Tulsa, OK 74133-4200 | 2006-11-13 |
| 1912916123 | Mark Alan Andregg | Dentist | 10125 S Sheridan Rd, Suite E, Tulsa, OK 74133-6737 | 2006-08-05 |
| 1396752663 | Van L. Nowlin | Dentist | 5010 East 68th St., Ste 200, Tulsa, OK 74136-3305 | 2006-08-01 |
| 1174565790 | L Kent Shacklett | Dentist | 3305 E 45th St, Tulsa, OK 74135-2901 | 2006-06-11 |
| 1528027091 | Ryan V. Nowlin Dds, Ms, PC | Dentist | 5010 E. 68th St., Suite 200, Tulsa, OK 74136 | 2006-03-22 |
| 1750366514 | Robert Jerome Herman | Dentist | 6565 S Yale Ave Ste 510, Tulsa, OK 74136-8306 | 2005-12-14 |
| 1225029671 | Lawrence Elliott Sims | Dentist | 2117 S Atlanta Pl, Tulsa, OK 74114-1709 | 2005-11-03 |
| Find all providers in TULSA | ||||
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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.