ANDREA MATLI SCOVILLE DDS PC (NPI# 1881991032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881991032 |
| Entity Type | Organization |
| Organization Name | ANDREA MATLI SCOVILLE DDS PC |
| Practice Address |
601 W 2nd St Watonga OK 73772-2601 |
| Practice Telephone | 5806237121 |
| Practice Fax Number | 5806237124 |
| Mailing Telephone | 5806237121 |
| Mailing Fax Number | 5806237124 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | DR. ANDREA MATLI SCOVILLE (OWNER) |
| Authorized Official Telephone | 5806237121 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4530 | OK | Dental Providers |
| Street Address |
601 W 2ND ST |
| City | WATONGA |
| State | OK |
| Zip Code | 73772-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546815 | Sabrina Marie Yoder | Case Manager/Care Coordinator | 115 East 1st Street, Watonga, Ok, OK 73772 | 2018-01-17 |
| 1285150847 | Miriam Vaughan | Community Health Worker | 115 1/2 E 1st St, Watonga, OK 73772 | 2017-08-16 |
| 1053697649 | Marlin R Giles | Community/Behavioral Health | 403 Clarence Nash, Watonga, OK 73772 | 2011-10-26 |
| 1174811681 | Matthew Giles | Community/Behavioral Health | 1114 Villa Dr., Watonga, OK 73772 | 2011-07-18 |
| 1003127937 | Linda Jolane Scott | Counselor | 115 E. 1st Street, Watonga, OK 73772 | 2010-06-25 |
| 1063686764 | Brianna Auge | Counselor | 214 'a' Street, Watonga, OK 73772 | 2008-04-15 |
| 1770778417 | Jaycif A Justice | Social Worker | 216 W 'a' St., Watonga, OK 73772 | 2007-09-06 |
| 1609938984 | Flauryse M Baguidy | Dentist | Rr 1 Hwy 281 South, Usphs Ihs Watonga Health Center, Watonga, OK 73772 | 2006-12-14 |
| 1437603768 | City of Watonga | Ambulance | 305 W Main, Watonga, OK 73772 | 2016-08-03 |
| 1982976742 | Richard Zielinski Md, Pllc | Psychiatry & Neurology | 712 W 3rd St, Watonga, OK 73772 | 2012-02-08 |
| Find all providers in zip 73772 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013813 | Lake Country Orthodontics | Dentist | 1119 Walnut Dr Ste 4, Ardmore, OK 73401-2360 | 2020-08-13 |
| 1285284919 | Marlo A. Miller Dds, Ms | Dentist | 816 S Mustang Rd, Yukon, OK 73099-6767 | 2019-09-15 |
| 1215480371 | Gabriel Luttrell | Dentist | 421 Nw 10th St, Suite 201-e, Oklahoma City, OK 73103-3909 | 2016-07-25 |
| 1417328170 | Tyler Holt | Dentist | 157 Stonebridge Blvd Apt 2223, Edmond, OK 73013-4773 | 2015-10-07 |
| 1235525734 | Christopher Trockel Orthodontics PC | Dentist | 12345 S Memorial Dr Ste 113, Bixby, OK 74008-2571 | 2015-04-10 |
| 1275921769 | Orthodontic Specialists of Shawnee | Dentist | 18 E Dunloup Rd, Shawnee, OK 74804-3203 | 2015-01-06 |
| 1629474127 | Smile Galaxy Orthodontics | Dentist | 10001 S Pennsylvania Ave Bldg P, Suite #130, Oklahoma City, OK 73159-6923 | 2014-11-10 |
| 1831505999 | Gabriela Restuccia | Dentist | 1201 N Stonewall Ave Rm 449, Oklahoma City, OK 73117-1214 | 2014-07-09 |
| 1962818351 | Dental Depot Orthodontics Sw Okc, Pllc | Dentist | 6217 S Western Ave Ste A, Oklahoma City, OK 73139-1605 | 2014-07-07 |
| 1730502519 | Dental Depot Orthodontics North Okc Pllc | Dentist | 14440 N Penn Ave, Oklahoma City, OK 73134-6003 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
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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.