OCEAN DENTAL, PC (NPI# 1720128002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720128002 |
| Entity Type | Organization |
| Organization Name | OCEAN DENTAL, PC |
| Other Organization Name | STAR DENTAL |
| Practice Address |
4409 N Kickapoo Ave Shawnee OK 74804-1206 |
| Mailing Address |
206 W 6th Ave Stillwater OK 74074-4017 |
| Practice Telephone | 4052737077 |
| Practice Fax Number | 4052739093 |
| Mailing Telephone | 4057070600 |
| Mailing Fax Number | 4057070602 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-12-03 |
| Authorized Official Name | DR. CHAD B. HOECKER (OWNER) |
| Authorized Official Telephone | 4057070600 |
| 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 |
|---|---|
| Star Dental | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205045044 | Ocean Dental, PC | Dentist | 206 W 6th Ave, Stillwater, OK 74074-4017 | 2007-05-21 |
| 1619017464 | Ocean Dental, PC | Dentist | 47 Ne 23rd St, Oklahoma City, OK 73105-3001 | 2007-02-08 |
| 1700926649 | Ocean Dental, PC | Dentist | 1610 Sw 74th St, Oklahoma City, OK 73159-4114 | 2007-02-08 |
| 1205976057 | Ocean Dental, PC | Dentist | 913 W Maple Ave, Enid, OK 73701-3869 | 2007-02-08 |
| 1770623613 | Ocean Dental, PC | Dentist | 2305 Interstate 35 Frontage Rd, Moore, OK 73160-2775 | 2007-02-08 |
| 1073653929 | Ocean Dental, PC | Dentist | 5314 Nw Cache Rd, Lawton, OK 73505-3313 | 2007-02-08 |
| 1952441289 | Ocean Dental, PC | Dentist | 3919 N Macarthur Blvd, Warr Acres, OK 73122-2005 | 2007-02-07 |
| 1790825057 | Ocean Dental, PC | Dentist | 6801 E Admiral Pl, Tulsa, OK 74115-8707 | 2007-02-07 |
| 1508906876 | Ocean Dental, PC | Dentist | 510 S Duck St, Stillwater, OK 74074-4051 | 2007-02-07 |
| Street Address |
4409 N KICKAPOO AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639602873 | Nkr Enterprises, Aprn-cnp, Pllc | Nurse Practitioner | 4409 N Kickapoo Ave, Suite 121, Shawnee, OK 74804-1206 | 2017-04-05 |
| 1821403403 | Rupeshwar Ishwar Renkuntla | Dentist | 4409 N Kickapoo Ave, Shawnee, OK 74804-1206 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| 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 |
|---|---|---|---|---|
| 1326656117 | Joel David Piper | Dentist | 10840 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2020-07-17 |
| 1518450642 | Matthew Nicholas Scott | Dentist | 6852 Silverheel St, Shawnee, KS 66226-5300 | 2018-06-13 |
| 1710498050 | Reggie Cooley | Dentist | 4520 Market Place Blvd, Shawnee, OK 74804-0804 | 2017-10-13 |
| 1144494147 | Impressions Dental | Dentist | 2510 E Independence St Ste 600, Shawnee, OK 74804-1839 | 2008-04-22 |
| 1184834145 | Andrew Stewart Moore | Dentist | 5550 Hedge Lane Ter, Shawnee, KS 66226-2253 | 2007-05-22 |
| 1205959582 | Charles B Swain | Dentist | 5638 Nieman Rd, Shawnee, KS 66203-2348 | 2007-04-09 |
| 1912026162 | Amy Laymon | Dentist | 4520 Market Place Blvd Ste A, Shawnee, OK 74804-0805 | 2007-03-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1639220148 | Catherine T. Uypeckcuat | Dentist | 22740 Midland Dr, Shawnee, KS 66226-3553 | 2007-01-13 |
| Find all providers in SHAWNEE | ||||
Please comment or provide details below to improve the information on OCEAN DENTAL, 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.