ROGER POTTS DENTAL GROUP, PC (NPI# 1699717371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699717371 |
| Entity Type | Organization |
| Organization Name | ROGER POTTS DENTAL GROUP, PC |
| Other Organization Name | GENTLE DENTAL SOUTHWEST |
| Practice Address |
6002 S Western Ave Oklahoma City OK 73139-1602 |
| Mailing Address |
9800 S La Cienega Blvd Ste 899, Room 6 Inglewood CA 90301-4440 |
| Practice Telephone | 4056319100 |
| Practice Fax Number | 4056314672 |
| Mailing Telephone | 2094764700 |
| Mailing Fax Number | 2094786430 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | ROGER G POTTS (PC OWNER) |
| Authorized Official Telephone | 2094764700 |
| Authorized Official Credential | DDS |
| 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 |
|---|---|
| Gentle Dental Southwest | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033519012 | Roger Potts Dental Group, PC | Dentist | 1333 N Santa Fe Ave Ste 105, Edmond, OK 73003-3677 | 2014-08-27 |
| 1932396769 | Roger Potts Dental Group, PC | Dentist | 201 S Macarthur Blvd, Oklahoma City, OK 73128-1006 | 2007-09-25 |
| 1801838446 | Roger Potts Dental Group, PC | Dentist | 515 S Broadway, Edmond, OK 73034-3851 | 2006-06-11 |
| 1093757437 | Roger Potts Dental Group, PC | Dentist | 304 S Air Depot Blvd, Midwest City, OK 73110-4433 | 2006-06-11 |
| 1881636561 | Roger Potts Dental Group, PC | Dentist | 1740 N Service Rd, Moore, OK 73160-3307 | 2006-06-10 |
| 1740355205 | Roger Potts Dental Group, PC | Dentist | 7001 N May Ave, Oklahoma City, OK 73116-3248 | 2006-11-21 |
| 1396787909 | Roger Potts Dental Group, PC | Dentist | 6401 Nw Expressway, Suite 100, Oklahoma City, OK 73132-5170 | 2006-06-11 |
| Street Address |
6002 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750514329 | Nathan N. Proud | Dentist | 6002 S Western Ave, Oklahoma City, OK 73139-1602 | 2009-08-31 |
| 1245447960 | Tom Neal Todd | Dentist | 6002 S Western Ave, Oklahoma City, OK 73139-1602 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| 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 |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1255960399 | Graden Trumble | Dentist | 1201 N Stonewall Ave Rm 452, Oklahoma City, OK 73117-1214 | 2020-04-01 |
| 1790322543 | Easy Dental South Pllc | Dentist | 10001 S Penn Ave Ste 22, Oklahoma City, OK 73159-6923 | 2019-11-27 |
| 1922643543 | Dental Boutique Pllc | Dentist | 3621 Nw 63rd St Ste C, Oklahoma City, OK 73116-2041 | 2019-11-07 |
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1326556242 | Steve Huy Truong, Dds, Pllc | Dentist | 16 Ne 2nd St Ste B, Oklahoma City, OK 73104-2210 | 2018-01-12 |
| 1326576497 | Noel Robert Williams Jr. | Dentist | 1325 N Walker Ave Apt 204, Oklahoma City, OK 73103-6414 | 2017-06-01 |
| 1790213486 | Ty Allen Mays Jr. | Dentist | 25 N Rockwell Ave, Oklahoma City, OK 73127-6112 | 2017-05-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
Please comment or provide details below to improve the information on ROGER POTTS DENTAL GROUP, PC.
| 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.