ROGER POTTS DENTAL GROUP, PC (NPI# 1801838446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801838446 |
| Entity Type | Organization |
| Organization Name | ROGER POTTS DENTAL GROUP, PC |
| Other Organization Name | GENTLE DENTAL EDMOND |
| Practice Address |
515 S Broadway Edmond OK 73034-3851 |
| Mailing Address |
9800 S La Cienega Blvd Ste 899, Room 6 Inglewood CA 90301-4440 |
| Practice Telephone | 4053405150 |
| Practice Fax Number | 4053401559 |
| Mailing Telephone | 2094764700 |
| Mailing Fax Number | 2094786430 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | DR. ROGER G POTTS (PC OWNER) |
| Authorized Official Telephone | 4053405150 |
| 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 Edmond | 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 |
| 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 |
| 1699717371 | Roger Potts Dental Group, PC | Dentist | 6002 S Western Ave, Oklahoma City, OK 73139-1602 | 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 |
515 S BROADWAY |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164715785 | Matthew Christopher Turbush | Dentist | 515 S Broadway, Edmond, OK 73034-3851 | 2011-05-17 |
| 1730385683 | Golnaz Naghdi | Dentist | 515 S Broadway, Edmond, OK 73034-3851 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1730748773 | Tri Nguyen | Dentist | 2325 Nw 153rd St, Edmond, OK 73013-9229 | 2019-06-12 |
| 1497247860 | Preston Eugene Harraman | Dentist | 775 W Covell Rd Ste 160, Edmond, OK 73003-2302 | 2018-06-01 |
| 1346698842 | Jason Wallace | Dentist | 1400 W Covell Rd, Edmond, OK 73003-3504 | 2016-05-25 |
| 1013311265 | Dental Professionals of Ok, PC | Dentist | 3152 S Broadway, Edmond, OK 73013-4056 | 2014-10-17 |
| 1033519012 | Roger Potts Dental Group, PC | Dentist | 1333 N Santa Fe Ave Ste 105, Edmond, OK 73003-3677 | 2014-08-27 |
| 1588077150 | Krystal Dawn Hall | Dentist | 21026 Highlander Ridge Dr, Edmond, OK 73012-0902 | 2014-06-11 |
| 1497023196 | Tapan Koticha | Dentist | 16430 Muirfield Place, Edmond, OK 73013-9161 | 2011-12-08 |
| 1922394261 | William Samuel Ward | Dentist | 1354 E 15th St, Edmond, OK 73013-5029 | 2011-06-24 |
| 1083904833 | Dawn Annette Hisey | Dentist | 1140 Brookside Ct, Edmond, OK 73025-9748 | 2011-04-13 |
| Find all providers in EDMOND | ||||
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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.