SMILE GALAXY ORTHODONTICS


Address: 10001 S Pennsylvania Ave Bldg P, Suite #130, Oklahoma City, OK 73159-6923
Phone: 4057593724

SMILE GALAXY ORTHODONTICS (NPI# 1629474127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629474127
Entity Type Organization
Organization Name SMILE GALAXY ORTHODONTICS
Practice Address 10001 S Pennsylvania Ave Bldg P
Suite #130
Oklahoma City
OK 73159-6923
Mailing Address Po Box 892290
Oklahoma City
OK 73189-2290
Practice Telephone 4057593724
Practice Fax Number 4057593728
Mailing Telephone 4057593724
Mailing Fax Number 4057593728
Enumeration Date 2014-11-10
Last Update Date 2014-11-10
Authorized Official Name MR. ROBERT BRIAN MOLLOY (OWNER)
Authorized Official Telephone 4056921222
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
185 OK Dental Providers

Office Location

Street Address 10001 S PENNSYLVANIA AVE BLDG P
SUITE #130
City OKLAHOMA CITY
State OK
Zip Code 73159-6923

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NPI Name Taxonomy Address Enumeration
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1629573407 Carrie Lynn Sanchez Case Manager/Care Coordinator 2604 Sw 92nd Street, Oklahoma City, OK 73159 2018-03-26
1407368038 Deborah Dorton Psychologist Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 2017-11-06
1366969933 Matthew Lewis Hearne Case Manager/Care Coordinator 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 2017-08-24
1043766405 Pro Hearing, LLC Clinic/Center 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 2016-08-26
1952764169 Doc LLC Orthopaedic Surgery 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 2016-04-04
1235511288 Anusha Koneru Dentist 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 2015-06-26
1114347069 Crystal A Dockery Family Medicine 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 2014-04-18
1790121440 Kimberly Anne Dyer Occupational Therapy Assistant 5725 S Ross, Oklahoma City, OK 73159 2013-05-21
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215480371 Gabriel Luttrell Dentist 421 Nw 10th St, Suite 201-e, Oklahoma City, OK 73103-3909 2016-07-25
1831505999 Gabriela Restuccia Dentist 1201 N Stonewall Ave Rm 449, Oklahoma City, OK 73117-1214 2014-07-09
1962818351 Dental Depot Orthodontics Sw Okc, Pllc Dentist 6217 S Western Ave Ste A, Oklahoma City, OK 73139-1605 2014-07-07
1730502519 Dental Depot Orthodontics North Okc Pllc Dentist 14440 N Penn Ave, Oklahoma City, OK 73134-6003 2014-01-29
1396993051 Melissa Leann Farrow Dentist 8301 S. Walker, Suite 103, Oklahoma City, OK 73139-9449 2008-09-05
1861611535 Mark L Youngker Dentist 4401 W Memorial Rd Ste 113, Oklahoma City, OK 73134-1722 2007-04-24
1538212766 Ou Graduate Orthodontics Dentist 1201 N Stonewall, Room 442, Oklahoma City, OK 73117-1214 2007-01-19
1659437234 Marlo Anneene Miller Dentist 3501 Nw 50th St, Oklahoma City, OK 73112-5603 2006-12-28
1366513699 Jeffrey Todd Cohlmia Dentist 13313 North Meridian, Suite D4, Oklahoma City, OK 73120-8380 2006-11-10
1902909195 Christian Gerard Zylinski Dentist 3727 Nw 63rd, Ste 100, Oklahoma City, OK 73116 2006-09-06
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73159

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Dataset Information

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.

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