BARTLESVILLE PERIODONTICS AND DENTAL IMPLANTS (NPI# 1588807465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588807465 |
Entity Type | Organization |
Organization Name | BARTLESVILLE PERIODONTICS AND DENTAL IMPLANTS |
Practice Address |
2419 Nowata Pl Suite 101 Bartlesville OK 74006-4708 |
Practice Telephone | 9183330990 |
Mailing Telephone | 9183330990 |
Enumeration Date | 2009-04-08 |
Last Update Date | 2009-04-08 |
Authorized Official Name | DR. JIMMIE REED BUTLER (PERIODONTIST) |
Authorized Official Telephone | 9183330990 |
Authorized Official Credential | DDS, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
5160 | OK | Dental Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oklahoma Business Registrations | BARTLESVILLE PERIODONTICS AND DENTAL IMPLANTS, P.L.L.C. | 2419 Se Nowata Pl, Ste 101, Bartlesville, OK 74006 |
Street Address |
2419 NOWATA PL SUITE 101 |
City | BARTLESVILLE |
State | OK |
Zip Code | 74006-4708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225058654 | Jerry Carter | Optometrist | 2419 Nowata Pl, Suite 103, Bartlesville, OK 74006-4708 | 2006-07-20 |
1508182585 | Emily M. Bussey, O.d. P.C. | Optometrist | 2419 Nowata Pl, Ste. 103, Bartlesville, OK 74006-4708 | 2010-04-15 |
1396994323 | Jerry B. Carter, O.d. | Eyewear Supplier (Equipment, not the service) | 2419 Nowata Pl, Suite 103, Bartlesville, OK 74006-4708 | 2008-09-15 |
1235264292 | David Taylor Stapleton | Dentist | 2419 Nowata Pl, Suite 101, Bartlesville, OK 74006-4708 | 2007-02-22 |
1316097603 | J Reed Butler | Dentist | 2419 Nowata Pl, Suite #101, Bartlesville, OK 74006-4708 | 2007-01-11 |
1669583654 | Emily Martin Bussey | Optometrist | 2419 Nowata Pl, Ste 103, Bartlesville, OK 74006-4708 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
Find all providers in zip 74006 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316097603 | J Reed Butler | Dentist | 2419 Nowata Pl, Suite #101, Bartlesville, OK 74006-4708 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063021343 | Xixi Wu | Dentist | 1201 N Stonewall Ave # 524d, Oklahoma City, OK 73117-1214 | 2020-07-23 |
1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
1851713747 | Maria Fernanda Santos Peres | Dentist | 1201 N Stonewall Ave Rm 542, Oklahoma City, OK 73117-1214 | 2014-01-10 |
1609142827 | Board of Regents of Ok - Col of Dentistry Grad Perodontics | Dentist | 1201 N Stonewall Ave Rm Dcs253, Oklahoma City, OK 73117-1214 | 2012-04-02 |
1669614137 | Ryan James Lanman | Dentist | 3621 Nw 63rd St Ste I, Oklahoma City, OK 73116-2041 | 2009-03-30 |
1225252919 | Eric Jankowski | Dentist | 504 Forest Ridge Dr, Tahlequah, OK 74464-4191 | 2007-04-12 |
1770627044 | Robin D Henderson | Dentist | 9112 N. May Ave, Okla. City, OK 73120 | 2007-02-19 |
1487711081 | Glen Conrad Hornbuckle | Dentist | 8203 S Walker Ave, Okla City, OK 73139-9451 | 2007-01-02 |
1538235775 | Ray Anand Beddoe | Dentist | 2619 S Elm Pl, Suite A, Broken Arrow, OK 74012-7878 | 2006-11-28 |
1144232455 | Edwin E Sutherland II | Dentist | 1605 S Sangre Rd, Stillwater, OK 74074-1847 | 2006-08-13 |
Find all providers with the same taxonomy |
City | BARTLESVILLE |
Zip Code | 74006 |
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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.