PREMIER DENTAL OF WESTERN OKLAHOMA, PLLC (NPI# 1790959757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790959757 |
| Entity Type | Organization |
| Organization Name | PREMIER DENTAL OF WESTERN OKLAHOMA, PLLC |
| Practice Address |
3102 S Highway 6 Elk City OK 73644-9779 |
| Practice Telephone | 5802254448 |
| Practice Fax Number | 5802254460 |
| Mailing Telephone | 5802254448 |
| Mailing Fax Number | 5802254460 |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-04-21 |
| Authorized Official Name | DR. PATRICK PETE STOVER (DENTIST) |
| Authorized Official Telephone | 5802254448 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5614 | OK | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | PREMIER DENTAL OF WESTERN OKLAHOMA, PLLC | 3102 S Hwy 6, Elk City, OK 73644 |
| Street Address |
3102 S HIGHWAY 6 |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-9779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699703850 | Patrick Pete Stover | Dentist | 3102 S Highway 6, Elk City, OK 73644-9779 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| 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 |
|---|---|---|---|---|
| 1477670610 | Danny J Fuchs | Dentist | 922 W 3rd St, Elk City, OK 73644-5212 | 2007-03-23 |
| 1477603868 | Jack Thomas Morrison | Dentist | 2212 W 3rd St, Elk City, OK 73644-4310 | 2007-01-10 |
| 1699703850 | Patrick Pete Stover | Dentist | 3102 S Highway 6, Elk City, OK 73644-9779 | 2006-06-28 |
| 1750323135 | Nowlin Dental Clinic | Dentist | 201 Garrett St, Elk City, OK 73644-4332 | 2006-06-12 |
| 1245892926 | Elk City Dental Group Pllc | Dentist | 1011 N Main St, Elk City, OK 73644-2830 | 2019-07-02 |
| 1972824860 | Darin Higgins Investments Pllc | Dentist | 1011 N Main St, Elk City, OK 73644-2830 | 2010-06-15 |
| 1720105984 | Cathy Haden Fuchs | Dentist | 922 W 3rd St, Elk City, OK 73644-5212 | 2007-03-23 |
| 1790802973 | Fuchs & Fuchs Dentistry | Dentist | 922 W 3rd St, Elk City, OK 73644-5212 | 2007-03-23 |
| 1043323140 | Bill N/a Gladd | Dentist | 1011 N Main St, Elk City, OK 73644-2830 | 2006-08-16 |
| 1447263413 | Shannon Craig | Dentist | 517 W 2nd St, Elk City, OK 73644-4640 | 2006-08-14 |
| Find all providers in ELK CITY | ||||
Please comment or provide details below to improve the information on PREMIER DENTAL OF WESTERN OKLAHOMA, PLLC.
| 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.