DR. RUSTY WADE SULLINS (NPI# 1841306057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841306057 |
Entity Type | Individual |
Full Name | DR. RUSTY WADE SULLINS |
Credential | DDS |
Practice Address |
4208 Coletta Dr Oklahoma City OK 73120-8317 |
Practice Telephone | 4057519222 |
Practice Fax Number | 4057519223 |
Mailing Telephone | 4057519222 |
Mailing Fax Number | 4057519223 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2008-06-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 5243 | OK | Dental Providers |
Street Address |
4208 COLETTA DR |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73120-8317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659545671 | Rusty W. Sullins D.d.s., P.C. | Dentist | 4208 Coletta Dr, Oklahoma City, OK 73120-8317 | 2008-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
Find all providers in zip 73120 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447897749 | Hero Dental of South Oklahoma City | Dentist | 825 N Broadway Ave Ste 300, Oklahoma City, OK 73102-6012 | 2019-12-05 |
1356902126 | Adrienne Evelyn Wong | Dentist | 1200 Childrens Ave Ste 8f, Oklahoma City, OK 73104-4637 | 2019-06-24 |
1689133126 | Sdc Dental Practice of Ohio, LLC | Dentist | 7101 Nw 150th St Ste 100, Oklahoma City, OK 73142-9716 | 2019-03-14 |
1811483910 | Sarah Khyati | Dentist | 440 N Portland Ave # 1000, Oklahoma City, OK 73107-6110 | 2018-07-02 |
1881180974 | Hayden Fuller | Dentist | 1201 N Stonewall Ave # Dcsb253, Oklahoma City, OK 73117-1214 | 2018-07-02 |
1093206823 | Brian Bailey Howell | Dentist | 8200 Nw 106th Cir, Oklahoma City, OK 73162-8214 | 2018-05-29 |
1386135002 | Jeffrey Alan Scammahorn II | Dentist | 11317 S Western Ave Ste 500, Oklahoma City, OK 73170-5851 | 2018-05-29 |
1164936282 | Parkway Dental Group Pllc | Dentist | 3727 Nw 63rd St Ste 107, Oklahoma City, OK 73116-1923 | 2017-11-28 |
1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
1184154023 | Derek Ray Cohlmia | Dentist | 4301 Nw 63rd St Ste 303, Oklahoma City, OK 73116-1504 | 2017-06-14 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73120 |
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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.