EAST 111 FAMILY DENTISTRY PLLC (NPI# 1649881582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649881582 |
| Entity Type | Organization |
| Organization Name | EAST 111 FAMILY DENTISTRY PLLC |
| Practice Address |
8194 E 111th St S Bixby OK 74008-2421 |
| Practice Telephone | 9183696118 |
| Mailing Telephone | 9183696118 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | FAITH GASKINS (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 9728693789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Tej Lad DDS | Doing Business As Name - Organization |
| Street Address |
8194 E 111TH ST S |
| City | BIXBY |
| State | OK |
| Zip Code | 74008-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093792798 | Beena Tej Lad | Dentist | 8194 E 111th St S, Bixby, OK 74008-2421 | 2005-12-23 |
| 1952929317 | Nicholas A Jones | Dentist | 8194 E 111th St S, Bixby, OK 74008-2421 | 2020-07-10 |
| 1043748494 | Toby Allen | Dentist | 8194 E 111th St S, Bixby, OK 74008-2421 | 2017-05-30 |
| 1487684338 | Tej D. Lad | Dentist | 8194 E 111th St S, Bixby, OK 74008-2421 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1255821005 | South Tulsa Pain Management LLC. | Pain Medicine | 12345 S Memorial Dr Ste 106, Bixby, OK 74008 | 2018-05-17 |
| 1083104483 | Jennifer Scoggins Ms, Rd/ld, L.L.C. | Dietitian, Registered | 20164 S 137th East Ave, Bixby, OK 74008 | 2018-05-11 |
| 1043749310 | Brooke E Landers | Case Manager/Care Coordinator | 11113 S 107th E Ave, Bixby, OK 74008 | 2017-06-08 |
| 1053770404 | Mitzi Blanchard | Nurse Practitioner | 7333 E. 121st St S, Suite 200, Bixby, OK 74008 | 2016-02-13 |
| 1578942124 | Candace Taylor | Physical Therapist | 9013 East 138th St S, Bixby, OK 74008 | 2015-05-28 |
| 1427445188 | Kevin Toliver | Contractor | 10723 E 115th St South, Bixby, OK 74008 | 2015-04-21 |
| 1992102164 | Jessica Thompson | Speech-Language Pathologist | 7701 E. 121st, Bixby, OK 74008 | 2014-12-03 |
| 1700070232 | Body Worx Chiropractic | Chiropractor | 5085 East 151st St., Suite B, Bixby, OK 74008 | 2007-08-28 |
| Find all providers in zip 74008 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1093135675 | Okc Dental Health Associates, P.C. | Dentist | 12106 S Memorial Dr, Bixby, OK 74008-2508 | 2014-04-22 |
| 1265609192 | Advantage Dental Pllc | Dentist | 11907 S Memorial Dr Ste B, Bixby, OK 74008-2045 | 2008-05-09 |
| 1568637379 | Craig C Hine Dds PC | Dentist | 12345 S Memorial Dr Ste 103, Bixby, OK 74008-2570 | 2008-04-23 |
| 1164642542 | Jason Andrew Knapp | Dentist | 11907-b South Memorial Drive, Bixby, OK 74008 | 2007-04-26 |
| 1720165616 | Roy Maddox Dds PC | Dentist | 13000 South Memorial Drive, Bixby, OK 74008 | 2006-11-01 |
| 1609989961 | Bruce Mosby Williams | Dentist | 3177 E 146th Pl S, Bixby, OK 74008-8046 | 2006-08-17 |
| 1548220650 | Terry Justin Reavis | Dentist | 13302 S Memorial Dr, Bixby, OK 74008-3114 | 2006-03-23 |
| 1093792798 | Beena Tej Lad | Dentist | 8194 E 111th St S, Bixby, OK 74008-2421 | 2005-12-23 |
| 1346722683 | Spring Dental Bixby Pllc | Dentist | 12345 S Memorial Dr Ste 103, Bixby, OK 74008-2570 | 2018-09-04 |
| Find all providers in BIXBY | ||||
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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.