SMILE CENTER, INC. (NPI# 1669621629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669621629 |
| Entity Type | Organization |
| Organization Name | SMILE CENTER, INC. |
| Practice Address |
4528 S Sheridan Rd Suite 112 Tulsa OK 74145-1140 |
| Practice Telephone | 9186643366 |
| Practice Fax Number | 9186640933 |
| Mailing Telephone | 9186643366 |
| Mailing Fax Number | 9186640933 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |
| Authorized Official Name | DR. LARRY LEE WILLIAMS (OWNER) |
| Authorized Official Telephone | 9186643366 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3343 | OK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154566164 | Smile Center, Inc. | Denturist | 11545 15th Ave Ne Ste 201, Seattle, WA 98125-6358 | 2008-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SMILE CENTER, INC. | 503 4th St, Huntingburg, IN 47542 |
| Street Address |
4528 S SHERIDAN RD SUITE 112 |
| City | TULSA |
| State | OK |
| Zip Code | 74145-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366560617 | Ace Dui School, Inc. | Community/Behavioral Health | 4528 S Sheridan Rd, Suite 101, Tulsa, OK 74145-1140 | 2007-03-26 |
| 1205114683 | Marnie Monika Jackson | Counselor | 4528 S Sheridan Rd, Tulsa, OK 74145-1140 | 2011-08-02 |
| 1144542358 | Todd A Cole | Counselor | 4528 S Sheridan Rd, Suite 101, Tulsa, OK 74145-1140 | 2010-02-16 |
| 1871815019 | Keith Mrozinski | Counselor | 4528 S Sheridan Rd, Ste 101, Tulsa, OK 74145-1140 | 2010-02-15 |
| 1821325218 | Linda Laird Paylor | Counselor | 4528 S Sheridan Rd, Tulsa, OK 74145-1140 | 2009-11-05 |
| 1750616421 | Markeita Davis | Counselor | 4528 S Sheridan Rd, 101, Tulsa, OK 74145-1140 | 2009-10-13 |
| 1194955799 | Christopher Scott Baker | Counselor | 4528 S Sheridan Rd, Ste 101, Tulsa, OK 74145-1140 | 2009-07-17 |
| 1952507220 | Christine A Robinson | Counselor | 4528 S Sheridan Rd, Suite 101, Tulsa, OK 74145-1140 | 2007-06-25 |
| 1366565905 | Gwynette Maria Olden | Counselor | 4528 S Sheridan Rd, Tulsa, OK 74145-1140 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412992 | Dental Depot Southern Hills 71st & Jackson | Clinic/Center | 710 W. 74th Street, Tulsa, OK 74132 | 2019-05-10 |
| 1386897684 | Kids Dental | Clinic/Center | 10346 E 21st St, Tulsa, OK 74129-1606 | 2008-10-30 |
| 1407056583 | Thomas H. Gilbert Dds, Inc | Clinic/Center | 7116 S Mingo Rd Ste 112, Tulsa, OK 74133-3268 | 2007-07-18 |
| 1689613028 | Myron E. Katz, Dmd, Msd, Inc | Clinic/Center | 4543 S Harvard Ave, Tulsa, OK 74135-2905 | 2006-06-04 |
| 1457353278 | Mark M. Davis, D.d.s., PC | Clinic/Center | 5301 S Lewis Ave, Tulsa, OK 74105-6539 | 2005-08-11 |
| 1225653280 | Henrich Dental Office | Clinic/Center | 7905 E 106th St, Tulsa, OK 74133-6802 | 2020-06-15 |
| 1568097590 | Dental Masterpieces Pllc | Clinic/Center | 3920 E 91st St, Tulsa, OK 74137-3602 | 2020-03-10 |
| 1518414523 | Smile Stop Dental of Soutwest Tulsa | Clinic/Center | 5676 W Skelly Dr Ste A, Tulsa, OK 74107-9134 | 2016-09-07 |
| 1083090229 | Ipa Tulsa Pllc | Clinic/Center | 6565 S Yale Ave, Suite 505, Tulsa, OK 74136-8327 | 2015-08-10 |
| 1790198232 | Lindsay A. Smith, D.d.s., P.l.l.c. | Clinic/Center | 2538 E 21st St, Tulsa, OK 74114-1700 | 2014-06-03 |
| 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.