Dental Care of Muskogee, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

5961 Issued in OK

Legal business name

DENTAL CARE OF MUSKOGEE, INC.

Practice address

2406 E. Shawnee Avenue
Suite D
Muskogee, OK 74403-1561

Phone

(918) 682-5518

Fax

(918) 683-0410

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonas Christopher McCall, D.D.S.

Title

D.D.S.

Phone

(918) 682-5518

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1154544187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 E. SHAWNEE AVENUE",
            "address_2": "SUITE D",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031561",
            "telephone_number": "918-682-5518",
            "fax_number": "918-683-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 E. SHAWNEE AVENUE",
            "address_2": "SUITE D",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031561",
            "telephone_number": "918-682-5518",
            "fax_number": "918-683-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF MUSKOGEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "JONAS",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "D.D.S.",
        "authorized_official_telephone_number": "918-682-5518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5961",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100054210A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200030980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold L Demoss, M.D.
• Sara Katelyn Dempster, CRNA
• Dennis Rivero, MD, Inc., PC
• Kyle Remington Dennis, PT
• Dana Denson
• Jennifer Reigh Denton, APN
• Elizabeth Depriest
• Dermatology Associates of Oklahoma LLC
• Kenyonne Derrick
• Hetal P Desai

• Dentist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.