FORD DENTAL LAB INC (NPI# 1861930430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861930430 |
| Entity Type | Organization |
| Organization Name | FORD DENTAL LAB INC |
| Practice Address |
2828 Nw 57th St 307 Oklahoma City OK 73112-6814 |
| Mailing Address |
2828 Nw 57th St Ste 307 Oklahoma City OK 73112 |
| Practice Telephone | 4058870502 |
| Mailing Telephone | 4057953169 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | MR. VICTOR LEON STOLBACH (PARTNER) |
| Authorized Official Telephone | 4058870502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | DL65 | OK | Laboratories |
| Street Address |
2828 NW 57TH ST 307 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720006216 | Tonya R. Hileman | Counselor | 2828 Nw 57th St, Suite 302, Oklahoma City, OK 73112-6814 | 2006-07-17 |
| 1558897132 | Alpha Homehealth of Okc LLC | Home Infusion | 2828 Nw 57th St, Suite 220, Oklahoma City, OK 73112-6814 | 2017-05-03 |
| 1255870879 | Lyndee Jean Stovall | Speech-Language Pathologist | 2828 Nw 57th St, Oklahoma City, OK 73112-6814 | 2017-02-15 |
| 1104376193 | Velnedia Renae Cerquitella | Case Manager/Care Coordinator | 2828 Nw 57th St, Ste. 210, Oklahoma City, OK 73112-6814 | 2016-10-13 |
| 1427460054 | Patrice Smith | Social Worker | 2828 Nw 57th St, Suite 302, Oklahoma City, OK 73112-6814 | 2014-06-02 |
| 1972949329 | Kiauntra Denton | Counselor | 2828 Nw 57th St, Ste 302, Oklahoma City, OK 73112-6814 | 2013-05-13 |
| 1942644802 | Curlyn Lanelda Mcdaniel | Counselor | 2828 Nw 57th St, Ste. 302, Oklahoma City, OK 73112-6814 | 2013-04-23 |
| 1427492651 | Marquita L Roberson | Counselor | 2828 Nw 57th St, Ste 302, Oklahoma City, OK 73112 | 2013-04-18 |
| 1164764072 | Murray Alan Crookes | Counselor | 2828 Nw 57th St, Suite 302, Oklahoma City, OK 73112-6814 | 2013-03-19 |
| 1184966129 | Jessica Lynne Burch | Case Manager/Care Coordinator | 2828 Nw 57th St, Suite 302, Oklahoma City, OK 73112-6814 | 2013-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on FORD DENTAL LAB INC.
| 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.