PONCA CITY DENTAL GROUP PLLC (NPI# 1891328274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891328274 |
| Entity Type | Organization |
| Organization Name | PONCA CITY DENTAL GROUP PLLC |
| Practice Address |
1216 E Hartford Ave Ste 1a Ponca City OK 74601-2059 |
| Practice Telephone | 4054746362 |
| Mailing Telephone | 4054746362 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | JOSHUA BRASHER (DENTIST) |
| Authorized Official Telephone | 4054746362 |
| 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 |
| Street Address |
1216 E HARTFORD AVE STE 1A |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| 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 |
|---|---|---|---|---|
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| 1538377395 | Paul E Walker | Dentist | 900 E Prospect Ave Ste 800, Ponca City, OK 74601-1600 | 2007-05-17 |
| 1861605370 | John Albert Streight | Dentist | 400 Fairview Ave Ste 3, Ponca City, OK 74601-1910 | 2007-05-08 |
| 1811037625 | Dr Jim Highfill | Dentist | 1618 N 5th, Suite 4, Ponca City, OK 74601 | 2007-02-08 |
| 1053322891 | Glen Ray Hoecker | Dentist | 217 N 5th St, Ponca City, OK 74601-4538 | 2006-08-10 |
| 1477540813 | Phillip Alan Tyndall | Dentist | 415 E Hartford Ave, Ponca City, OK 74601-1512 | 2005-09-30 |
| 1033592381 | Carson Louis Nail | Dentist | 1618 N 5th St, Ponca City, OK 74601-2746 | 2015-07-06 |
| 1316352610 | Aaron Buchanan | Dentist | 400 Fairview Ave, Suite #2, Ponca City, OK 74601-1920 | 2014-06-25 |
| 1750793261 | Ryan A Johnson Dds Pllc | Dentist | 400 Fairview Ave, Suite 6, Ponca City, OK 74601-1920 | 2014-06-02 |
| 1265608749 | Phillip A. Tyndall, Dds,pc | Dentist | 415 E Hartford Ave, Ponca City, OK 74601-1512 | 2008-05-05 |
| Find all providers in PONCA CITY | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
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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.