Tamarack Dental Associates, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TAMARACK DENTAL ASSOCIATES, PLLC

Practice address

801 E Tamarack Rd
Altus, OK 73521-1231

Phone

(580) 482-5424

Fax

(580) 482-5429

NPI assigned

Apr 23, 2008

Last updated

Jan 24, 2011By 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

Ms. Jeanna Goodman

Title

Office Manager

Phone

(580) 482-5424

Specialties & licenses 1

Addresses

Other names 1

• Mark W. Goodman, D.D.S., PC Former legal business name

Locations

Practitioners 3

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.

• Jacob M Cary, D.D.S.

  • Dentist
  • Owasso, OK
  • NPI 1598131880
  NPD (past)
• Mark Wesley Goodman, DDS

  • Dentist
  • Altus, OK
  • NPI 1851307813
  NPD (past)
• Nathaniel W Talley, DDS

  • Dentist
  • Elk City, OK
  • NPI 1982804126
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1174798045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E TAMARACK RD",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211231",
            "telephone_number": "580-482-5424",
            "fax_number": "580-482-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E TAMARACK RD",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211231",
            "telephone_number": "580-482-5424",
            "fax_number": "580-482-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JEANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-482-5424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark W. Goodman, D.D.S., PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Marie Stevens, PA-C
• Lisa Elaine Stout, APRN-CNM
• Amie Rebekah Straub, O.D.
• Taylor Danielle Stubbs
• Sunshine Homecare Inc.
• Tanner Oxford D.C. LLC (Quartz Mountain Chiropractic)
• Luke Johnathan Terry, VOLUNTEER
• Blair Durae Testerman, SLP-CF
• Melissa Dawn Thacker, P.T.
• Dalton Blake Thames, CRNA

• General Practice Dentistry in Altus, OK
• Providers in Altus, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.