29TH STREET DENTAL CARE , NPI 1912450842
Dentist in CHICKASHA, OK
Last Updated on : Jul 27,2016
About 29TH STREET DENTAL CARE (NPI 1912450842)
29TH STREET DENTAL CARE is a Dentist in CHICKASHA, United States with a focus in General Practice .
1912450842 is NPI number of 29TH STREET DENTAL CARE.
29TH STREET DENTAL CARE's primary taxonomy code based on NPI Lookup is 1223G0001X with license number . This taxonomy code refers to Dentist.
29TH STREET DENTAL CARE current practice location address is 2900 W GRAND AVE, CHICKASHA, OK. 29TH STREET DENTAL CARE can be reached out via phone at 405-222-0222 and via fax at 405-222-0210 .
You can also correspond with 29TH STREET DENTAL CARE through mail at mailing address 2900 W GRAND AVE, CHICKASHA, OK, United States. Mailing address contact number is 405-222-0222.
The enumeration date of 29TH STREET DENTAL CARE is 27-Jul-2016. The provider is registered as an Organization and the NPI record was last updated 7 years ago. The authorized official of 29TH STREET DENTAL CARE is JOHN PHILLIPS (Owner). JOHN PHILLIPS can be reached at 4052220222.1912450842 NPI Information
Basic NPI information of 29TH STREET DENTAL CARE (NPI 1912450842) is provided below.
| Name | 29TH STREET DENTAL CARE |
|---|---|
| National Provider Id (NPI) | 1912450842 |
| Entity Type | Organization |
| Practice Address | 2900 W GRAND AVE,
CHICKASHA, OK, United States |
| Practice Telephone | 405-222-0222 |
| Practice Fax Number | 405-222-0210 |
| Mailing Address | 2900 W GRAND AVE ,
CHICKASHA, OK, United States |
| Mailing Telephone | 405-222-0222 |
| Mailing Fax Number | 405-222-0210 |
| Enumeration Date | 27-Jul-2016 |
| Last Updated Date | 27-Jul-2016 |
29TH STREET DENTAL CARE (NPI 1912450842) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | Dentist, 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.
29TH STREET DENTAL CARE (NPI 1912450842) Office Location
Office location of 29TH STREET DENTAL CARE is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1912450842 | 29TH STREET DENTAL CARE | Dentist, General Practice | 2900 W GRAND AVE,
CHICKASHA, OK, United States |
27-Jul-2016 |
| 1578957684 | 29TH STREET THERAPY | Speech-Language Pathologist, | 1211 S 29TH ST,
CHICKASHA, OK, United States |
26-Mar-2015 |
| 1568834091 | 29TH STREET THERAPY CENTER | Speech-Language Pathologist, | 1211 S 29TH ST,
CHICKASHA, OK, United States |
23-Oct-2015 |
| 1497097034 | BRITTANY LEAH ABSHIRE | Counselor | PO BOX 159,
CHICKASHA, OK, United States |
21-Mar-2013 |
| 1720397938 | DEIDRE T. ALEXANDER | Social Worker | 3401 W MISSISSIPPI AVE,
CHICKASHA, OK, United States |
05-Oct-2010 |
| 1811548894 | CATINA LOUISE ANDERSON | Nurse Practitioner, Adult Health | 304 S 29TH ST,
CHICKASHA, OK, United States |
22-Sep-2019 |
| 1972063675 | ERIC JOSEPH ANDERSON | Peer Specialist | 3310 W IDAHO AVE,
CHICKASHA, OK, United States |
20-Mar-2019 |
| 1154655157 | KEVIN ANDERSON | Family Medicine | 2100 W IOWA AVE,
SUITE A CHICKASHA, OK, United States |
23-Sep-2009 |
| 1235238726 | LESLIE B ANDERSON | Social Worker, Clinical | 1601 W CAROLINA AVE,
CHICKASHA, OK, United States |
21-Sep-2006 |
| 1194458422 | AMBERLY ARELLANO | Case Manager/Care Coordinator | PO BOX 829,
CHICKASHA, OK, United States |
05-Jul-2022 |
| 1821535915 | AROUND THE CLOCK HOME CARE | In Home Supportive Care | 313 W CHICKASHA AVE,
CHICKASHA, OK, United States |
26-Jan-2017 |
| 1275650368 | CLYDE W ATES | Case Manager/Care Coordinator | 1427 SHEPPARD ST,
CHICKASHA, OK, United States |
23-Mar-2007 |
| 1275055451 | KAYLA C AVILA | Counselor, Mental Health | 804 W CHOCTAW AVE,
CHICKASHA, OK, United States |
10-Jul-2017 |
| 1609074525 | PAULA KAY BAKER | Counselor | 198 E. ALMAR,
CHICKASHA, OK, United States |
03-Jul-2007 |
| 1346795184 | JESSICA BARRON | Technician, Personal Care Attendant | 900 W CHOCTAW AVE,
CHICKASHA, OK, United States |
22-Aug-2016 |
| 1952681660 | SAMUEL NICHOLAS BASS | Pharmacist | 2120 S 4TH ST,
CHICKASHA, OK, United States |
25-Aug-2011 |
| 1710340401 | LACEY BATES | Counselor | PO BOX 829,
CHICKASHA, OK, United States |
31-Mar-2016 |
| 1508298282 | NATHAN BAUMAN | Counselor | PO BOX 829,
CHICKASHA, OK, United States |
05-Aug-2013 |
| 1265877211 | NICOLE DANIEL BAUMAN | Student in an Organized Health Care Education/Training Program | 198 E ALMAR DR,
CHICKASHA, OK, United States |
03-May-2013 |
| 1164719274 | MELADIE JO BAXLEY | Counselor, Mental Health | 219 TABOR DR,
GASTON, SC, United States |
09-Jul-2011 |
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FAQs
Whose NPI Number is 1912450842?1912450842 is the NPI number of 29TH STREET DENTAL CARE.
Where is 29TH STREET DENTAL CARE located?29TH STREET DENTAL CARE is located at 2900 W GRAND AVE, CHICKASHA, OK.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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