DENTAL LODGE OF PURCELL (NPI# 1922626639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922626639 |
| Entity Type | Organization |
| Organization Name | DENTAL LODGE OF PURCELL |
| Practice Address |
1929 S Green Ave Purcell OK 73080-6203 |
| Practice Telephone | 4052949090 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | BENJAMIN BOWMAN (OWNER) |
| Authorized Official Telephone | 4053268004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1929 S GREEN AVE |
| City | PURCELL |
| State | OK |
| Zip Code | 73080-6203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702981 | Clarissa Shomo | Social Worker | Outpatient Services Purcell- 1726 N. Green Ave, Strong Family Development, Purcell, OK 73080 | 2015-10-07 |
| 1992138614 | Crystal Nicole Navarro | Social Worker | 1726 N. Green Avenue, Purcell, OK 73080 | 2013-08-16 |
| 1417242595 | Jarod D. Allen | Behavioral Analyst | Outpatient Services-purcell-1726 N Green Ave, Strong Family Development, Purcell, OK 73080 | 2011-06-16 |
| 1508195397 | Custom Dental of Purcell, Pllc | Dentist | 700 Chandler Rd., Purcell, OK 73080 | 2009-12-08 |
| 1336387513 | Regina Gail Pereira | Counselor | Outpatient Servies Purcell- 1726 W Green Ave, Strong Family Development, Purcell, OK 73080 | 2009-01-27 |
| 1114182342 | Tenia Ladonna Skinner | Family Medicine | 129 N 3rd Ave Ste C, Purcell, OK 73080 | 2008-07-28 |
| 1164691234 | Carla D Parnacher | Counselor | 1726 N Green Ave Outpatient Services- Purcell, Strong Family Development, Norman, OK 73080 | 2008-02-22 |
| 1932319811 | Amanda Diane Harrington | Marriage & Family Therapist | 1438 Hardcastle Blvd., Medical Family Therapy, Purcell, OK 73080 | 2007-05-22 |
| 1215059464 | Purcell Chiropractic PC | Chiropractor | 1205 N Green Ave, Purcell, OK 73080 | 2007-04-06 |
| 1144365339 | Cynthia Inez Maynard | Marriage & Family Therapist | 1726 North Green Avenue, Strong Family Development-outpatient Services Purcell, Purcell, OK 73080 | 2007-02-21 |
| Find all providers in zip 73080 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474758 | Sand Springs Dentistry and Braces | Clinic/Center | 152 W. Alexander Blvd, Ste E, Sand Springs, OK 74063 | 2020-10-12 |
| 1831796580 | Perry Smiles LLC | Clinic/Center | 505 N 14th St Ste B, Perry, OK 73077-5000 | 2020-10-06 |
| 1518578095 | Summer Dental Midwest City, Pllc | Clinic/Center | 1900 S Air Depot Blvd Ste 1, Midwest City, OK 73110-5522 | 2020-08-10 |
| 1821616533 | Enhance Dental of Norman | Clinic/Center | 1049 12th Ave Ne # 100, Norman, OK 73071-5312 | 2020-07-09 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1265052062 | Ada Dentistry and Braces | Clinic/Center | 931 Arlington St Ste 3, Ada, OK 74820-4025 | 2020-04-21 |
| 1225657133 | Impressions Dental of Harrah | Clinic/Center | 20926 Se 29th St Ste A, Harrah, OK 73045-6610 | 2020-04-10 |
| 1063041275 | Fleming Dental Co Pllc | Clinic/Center | 13316 S Western Ave Ste B, Oklahoma City, OK 73170-7309 | 2020-04-08 |
| 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.