PREMIERE DENTISTRY OF TAHLEQUAH, P.C. (NPI# 1841465861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841465861 |
| Entity Type | Organization |
| Organization Name | PREMIERE DENTISTRY OF TAHLEQUAH, P.C. |
| Practice Address |
1205 E Ross Byp Tahlequah OK 74464-4188 |
| Practice Telephone | 9184562555 |
| Practice Fax Number | 9184562444 |
| Mailing Telephone | 9184562555 |
| Mailing Fax Number | 9184562444 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | DR. ROBERT S JONES (DENTIST OWNER) |
| Authorized Official Telephone | 9184562555 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200021320A | 05 |
| Street Address |
1205 E ROSS BYP |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-4188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| 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 |
|---|---|---|---|---|
| 1649409103 | John Philip Walker | Dentist | 221 E Downing St, Tahlequah, OK 74464-3011 | 2009-07-06 |
| 1306012547 | Tahlequah Dental Care Pllc | Dentist | 212 N Muskogee Ave, Tahlequah, OK 74464-2726 | 2008-05-07 |
| 1548452444 | Matthew E. Walker PC Inc | Dentist | 221 E. Downing St., Tahlequah, OK 74464 | 2007-08-14 |
| 1649318882 | Dr. Thomason M Mcconnell Dds | Dentist | 1200 W 4th St Ste A, Tahlequah, OK 74464-5013 | 2007-02-01 |
| 1033218474 | Thomas Craig Been | Dentist | 206 East Downing, Tahlequah, OK 74464 | 2006-09-22 |
| 1457368250 | John Alfred Geasland | Dentist | 314 E Downing St, Tahlequah, OK 74464-3014 | 2006-08-02 |
| 1316979040 | Paul Edward Rader | Dentist | 217 N Water Ave, Tahlequah, OK 74464-2825 | 2006-07-06 |
| 1306814934 | Robert Stephen Jones | Dentist | 1205 E Ross Bypass, Tahlequah, OK 74464 | 2006-03-09 |
| 1568444016 | Errol James Allison | Dentist | 3070 S Muskogee Ave, Tahlequah, OK 74464-5402 | 2005-11-18 |
| 1508853235 | Don Logue Dds PC | Dentist | 1702 Park Hill Rd, Tahlequah, OK 74464-5600 | 2005-09-27 |
| Find all providers in TAHLEQUAH | ||||
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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.