GREEN COUNTRY DENTAL ARTS OF CATOOSA (NPI# 1932458312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932458312 |
| Entity Type | Organization |
| Organization Name | GREEN COUNTRY DENTAL ARTS OF CATOOSA |
| Practice Address |
1755 N. Highway 66 Suite C Catoosa OK 74015 UM |
| Mailing Address |
Po Box 1980 Catoosa OK 74015-1980 |
| Practice Telephone | 9182666470 |
| Practice Fax Number | 9182666473 |
| Mailing Telephone | 9182666470 |
| Mailing Fax Number | 9182666473 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |
| Authorized Official Name | DR. SOREN CHASE MICHAELSEN (DENTIST) |
| Authorized Official Telephone | 9182666470 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6403 | OK | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | GREEN COUNTRY DENTAL ARTS OF CATOOSA, P.C. | 1755 N Hwy 66, Ste C, Catoosa, OK 74015 |
| Street Address |
1755 N. HIGHWAY 66 SUITE C |
| City | CATOOSA |
| State | OK |
| Zip Code | 74015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396584 | Betsy Hart | Technician | 312 Chief Stan Waite Drive, Catoosa, OK 74015 | 2019-10-01 |
| 1700314986 | Laura Vo | Dentist | 1875 N Old Hwy 66 Suite A, Catoosa, OK 74015 | 2017-05-31 |
| 1275909772 | Caitlin Bruder | Speech-Language Pathologist | 523 Chief Stan Waite, Catoosa, OK 74015 | 2015-08-19 |
| 1821485491 | Mednow Urgent Care Center LLC | Clinic/Center | 2036 S Miller Lane, Suite F, Catoosa, OK 74015 | 2015-04-22 |
| 1588936439 | Sandra Barnes Williams | Social Worker | 750 N Cherokee Street, Suite N, Catoosa, OK 74015 | 2012-02-07 |
| 1437274529 | Hac Inc | Pharmacy | 19302 East Admiral Blvd, Catoosa, OK 74015 | 2007-03-20 |
| 1316077829 | Nancy Ann Childress-murphy | Psychiatry & Neurology | 1755 State Hwy 66, Suite F, Catoosa, OK 74015 | 2007-03-06 |
| 1528140092 | Geoffrey Michael Sims | Dentist | 1875 North Highway 66, Unit A, Catoosa, OK 74015 | 2006-10-20 |
| 1992886063 | Catoosa Health Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 801 N. 193rd E. Ave., Catoosa, OK 74015 | 2006-10-17 |
| 1184717647 | Bret Lee Armstrong | Pharmacist | 2500 N Highway 66, Catoosa, OK 74015 | 2006-10-02 |
| Find all providers in zip 74015 | ||||
| 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 |
|---|---|---|---|---|
| 1780106120 | Thomas Michael Carwile | Dentist | 2036 S Miller Ln Ste B, Catoosa, OK 74015-1539 | 2017-07-07 |
| 1255433512 | James F. Yeats | Dentist | 1755 North Highway 66, Ste C, Catoosa, OK 74015 | 2006-09-05 |
| 1952910028 | Kathryn Marie Greene | Dentist | 2036 S Miller Ln Ste B, Catoosa, OK 74015-1539 | 2020-07-24 |
| 1982964045 | Soren Chase Michaelsen | Dentist | 1755 N Highway 66, Suite C, Catoosa, OK 74015 | 2012-05-23 |
| 1275798373 | Michael L Brewer | Dentist | 1755 N Highway 66, Suite # D, Catoosa, OK 74015-2409 | 2008-07-28 |
| 1073712949 | Catoosa Dental Care, Plc | Dentist | 1755 N Highway 66, Suite # D, Catoosa, OK 74015-2409 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1679183420 | Dentists of Moore and Orthodontics | Dentist | 740 Sw 19th St Ste C, Moore, OK 73160-3062 | 2020-08-06 |
| 1770192635 | Joseph Ghazal | Dentist | 1520 S Main St # 1, Blackwell, OK 74631-4921 | 2020-07-27 |
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1679190953 | Harmon Denture Clinic LLC | Dentist | 104 E Mcelroy Rd Ste 4, Stillwater, OK 74075-3803 | 2020-07-02 |
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1053937854 | Nathan Sethman | Dentist | 1410 N Louis Tittle Ave, Mangum, OK 73554-2218 | 2020-06-18 |
| 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.