OKC DENTAL HEALTH ASSOCIATES, P.C. (NPI# 1871913889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871913889 |
| Entity Type | Organization |
| Organization Name | OKC DENTAL HEALTH ASSOCIATES, P.C. |
| Other Organization Name | MARKET SQUARE DENTAL CARE |
| Practice Address |
2000 S Highway 66 Suite A Market Square Claremore OK 74019 |
| Mailing Address |
2000 S Highway 66 Suite A Market Square Claremore OK 74019-4511 |
| Practice Telephone | 9183420202 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408426 |
| Is Organization Subpart | Y |
| Parent Organization Name | OKC DENTAL HEALTH ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Market Square Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245650829 | Okc Dental Health Associates, P.C. | Dentist | 1011 E Taft Ave, Sapulpa, OK 74066-5730 | 2014-04-22 |
| 1457771032 | Okc Dental Health Associates, P.C. | Dentist | 3451 W Kenosha St, Broken Arrow, OK 74012-8949 | 2014-04-22 |
| 1093135675 | Okc Dental Health Associates, P.C. | Dentist | 12106 S Memorial Dr, Bixby, OK 74008-2508 | 2014-04-22 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1982024840 | Okc Dental Health Associates, P.C. | Dentist | 9072 W Highway 70, Durant, OK 74701-6513 | 2014-04-18 |
| 1154741023 | Okc Dental Health Associates, P.C. | Dentist | 3201 W Broadway St, Muskogee, OK 74401-2132 | 2014-04-18 |
| 1942620885 | Okc Dental Health Associates, P.C. | Dentist | 1900 S Air Depot Blvd, Suite 1, Midwest City, OK 73110-5522 | 2014-04-18 |
| 1942620893 | Okc Dental Health Associates, P.C. | Dentist | 1430 Lonnie Abbott Blvd, Ada, OK 74820-1851 | 2014-04-18 |
| 1013337955 | Okc Dental Health Associates, P.C. | Dentist | 14221 N Pennsylvania Ave, Suite C, Oklahoma City, OK 73134-6096 | 2014-04-18 |
| 1750701603 | Okc Dental Health Associates, P.C. | Dentist | 2401 12th Ave Nw Ste 103, Ardmore, OK 73401-1471 | 2014-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKC DENTAL HEALTH ASSOCIATES, P.C. | 2111 Nw Cache Rd, Lawton, OK 73505-5213 |
| Street Address |
2000 S HIGHWAY 66 SUITE A MARKET SQUARE |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1346890431 | Cymonne Williamson | Behavior Technician | 24797 Ok-99 #5, Claremore, OK 74019 | 2019-09-19 |
| 1679038996 | Louella Spottedwolf | Registered Nurse | Claremore Indian Hospital, 101 S. Moore Avenue, Claremore, OK 74019 | 2019-02-01 |
| 1225537277 | Elizabeth Aurelia Weilert | Nurse Practitioner | 24764 S 4090 Rd, Claremore, OK 74019 | 2018-02-06 |
| 1053789537 | Timothy Ahearn | Counselor | 24572 Humphries Circle, Claremore, OK 74019 | 2015-09-14 |
| 1699181628 | Julie D Stone | Speech-Language Pathologist | 25547 Blackberry Blvd, Claremore, OK 74019 | 2014-07-10 |
| 1265878706 | Kalee Goodman | Behavioral Analyst | 24794 S. Hwy 66, Suite 5, Claremore, OK 74019 | 2013-05-10 |
| 1710257324 | Deborah Anne Skinstad | Rehabilitation Counselor | 24797 S. Hwy 66, Suite 5, Claremore, OK 74019 | 2012-01-12 |
| 1770893372 | Jerry Dean Mckenzie | Personal Emergency Response Attendant | 7425 E Hwy 266, Claremore, OK 74019 | 2010-10-15 |
| 1578874897 | Matthew Michael Kincaid | Dentist | 2000 S. Hwy 66, Suite A, Claremore, OK 74019 | 2010-07-01 |
| Find all providers in zip 74019 | ||||
| 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 |
|---|---|---|---|---|
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1699229518 | Oakwood Family Dentistry | Dentist | 1408 N Sioux Ave, Claremore, OK 74017-3126 | 2016-08-09 |
| 1902166002 | Dennis Phuoc Vo | Dentist | 2000 S Highway 66 Ste A, Claremore, OK 74019-4520 | 2012-05-22 |
| 1700056355 | Happy Tooth Dental Group | Dentist | 900 E Will Rogers Blvd Ste A, Claremore, OK 74017-6303 | 2008-03-10 |
| 1912182205 | Kevin Muilot Dds Inc | Dentist | 221 W First St, Claremore, OK 74017 | 2008-01-04 |
| 1770700197 | Justin Battle | Dentist | 1222 N Florence Ave, Claremore, OK 74017-3147 | 2007-04-19 |
| 1174644082 | Kevin L. Winters, Dds, Inc. | Dentist | 1502 W Blue Starr Dr, Claremore, OK 74017-3202 | 2007-04-02 |
| 1932248176 | Darryl D. Reed, D.d.s., Inc. | Dentist | 1406 N Sioux Ave, Claremore, OK 74017-3126 | 2007-02-05 |
| Find all providers in CLAREMORE | ||||
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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.