Dentures, Implants, and Dentistry of Oklahoma PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTURES, IMPLANTS, AND DENTISTRY OF OKLAHOMA PLLC

Doing business as

Redeemed Smiles

Practice address

1730 Shedeck Parkway
Suites #100 and #105
Yukon, OK 73099

Phone

(405) 237-6453

NPI assigned

Apr 28, 2023

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Fullington, DDSNPI 1265952980

Title

Dentist

Phone

(405) 237-6453

Specialties & licenses 1

Addresses

Other names 1

• Redeemed Smiles Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Fullington, DDS

  • Dentist
  • Yukon, OK
  • NPI 1265952980
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1154019925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 SHEDECK PKWY STE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996010",
            "telephone_number": "405-237-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SHEDECK PARKWAY",
            "address_2": "SUITES #100 AND #105",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-237-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTURES, IMPLANTS, AND DENTISTRY OF OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FULLINGTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-237-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redeemed Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lydia J Dennis, DO
• Dental Depot of Piedmont, PLLC
• Dental Depot Orthodontics Yukon PLLC
• Dental Professionals of Oklahoma, P.C. (Family Dentistry of Yukon)
• Dentistry by Design, P.C.
• Reisha Despain, M.S., M.ED., BCBA
• Destination Speech, LLC
• Julianna Elizabeth Determann
• Carlie Jane Dew, RBT
• Heather Deyo

• Dental Clinic/Center in Yukon, OK
• Providers in Yukon, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.