JOHNSON AND SOUTHARD ENDODONTICS (NPI# 1649416876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649416876 |
| Entity Type | Organization |
| Organization Name | JOHNSON AND SOUTHARD ENDODONTICS |
| Practice Address |
5010 E 68th St Suite 104 Tulsa OK 74136-3323 |
| Practice Telephone | 9184933880 |
| Practice Fax Number | 9184928564 |
| Mailing Telephone | 9184933880 |
| Mailing Fax Number | 9184928564 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |
| Authorized Official Name | DR. LAURIE LYNN SOUTHARD (PRESIDENT/ENDODONTIST) |
| Authorized Official Telephone | 9184933880 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5119 | OK | Dental Providers |
| Street Address |
5010 E 68TH ST SUITE 104 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058999 | Ryan V Nowlin | Dentist | 5010 E 68th St, Tulsa, OK 74136-3323 | 2005-07-27 |
| 1669989166 | Tulsa Neuro Specialists PC | Psychiatry & Neurology | 5010 E 68th St, Tulsa, OK 74136-3323 | 2018-01-05 |
| 1013353325 | Apex Endodontics, Pllc | Dentist | 5010 E 68th St, Suite 202, Tulsa, OK 74136-3323 | 2013-05-14 |
| 1083832133 | Van L. Nowlin D.d.s.,m.s.d.,inc. | Dentist | 5010 E 68th St, Suite 200, Tulsa, OK 74136-3323 | 2007-04-23 |
| 1215054820 | Laurie Lynn Southard | Dentist | 5010 E 68th St, Suite 104, Tulsa, OK 74136-3323 | 2007-03-26 |
| 1699850198 | Howard D Iba Dds Md Inc | Dentist | 5010 E 68th St, Suite 100, Tulsa, OK 74156 | 2006-10-25 |
| 1255354544 | David R Woodard | Dentist | 5010 E 68th St, Suite 202, Tulsa, OK 74136-3323 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013187186 | Denny W Southard | Dentist | 6565 S Yale Ave Ste 712, Tulsa, OK 74136-8308 | 2008-03-05 |
| 1760536866 | David W Pedicord | Dentist | 4606 E 67th Street, Suite 208, Tulsa, OK 74136 | 2007-01-23 |
| 1346210168 | Jeffrey Roland Johnson | Dentist | 7134 S Yale Ave, Suite 205, Tulsa, OK 74136-6372 | 2006-01-24 |
| 1962822387 | Rodney P. Steffen, Dds, PC | Dentist | 1420 S Lewis Ave, Tulsa, OK 74104-4641 | 2014-04-24 |
| 1013353325 | Apex Endodontics, Pllc | Dentist | 5010 E 68th St, Suite 202, Tulsa, OK 74136-3323 | 2013-05-14 |
| 1205095270 | Edward W Grimes Dds Inc | Dentist | 6112 E 61st St, Tulsa, OK 74136 | 2008-06-05 |
| 1790951614 | Endodontic Specialists of Northeast Ok | Dentist | 5555 E 71st St, Ste 9210, Tulsa, OK 74136-6542 | 2008-04-30 |
| 1295945475 | Amy Elizabeth Stone | Dentist | 6565 S Yale Ave, Suite #712, Tulsa, OK 74136-8378 | 2007-05-23 |
| 1215054820 | Laurie Lynn Southard | Dentist | 5010 E 68th St, Suite 104, Tulsa, OK 74136-3323 | 2007-03-26 |
| 1609984525 | Robert A Augsburger | Dentist | 4606 E 67th St, Bldg 7 Suite 201, Tulsa, OK 74136-4943 | 2006-08-29 |
| 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.