Spring Dental Cushing PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPRING DENTAL CUSHING PLLC

Doing business as

Spring Dental Cushing

Practice address

2329 E Main St
Cushing, OK 74023-2904

Phone

(918) 285-5500

Fax

(844) 272-1565

NPI assigned

Jan 26, 2017

Last updated

Aug 11, 2020By 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

Creed McBay, DDS

Title

Owner

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spring Dental Cushing Doing business as

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.

• S Joshua Denison, DDS

  • Dentist
  • Cushing, OK
  • NPI 1871169177
  NPD
• Tina Kimtien Tran, DDS

  • General Practice Dentistry
  • Cushing, OK
  • NPI 1558167965
  NPD
• Cameron Willis, DDS

  • General Practice Dentistry
  • Seneca, MO
  • NPI 1679191795
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1285171447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TERR., STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-235-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 E MAIN ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740232904",
            "telephone_number": "918-285-5500",
            "fax_number": "844-272-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING DENTAL CUSHING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "MCBAY",
        "authorized_official_first_name": "CREED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-998-0996",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200540820E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Dental Cushing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Lynn Simpson, PT
• Clarissa Siragusa, LCSW
• Patrick Smith
• Christopher W Sorrels, M.D.
• Bryan C Spears, CRNA
• Laurel Elizabeth Stacy, DO
• Marion V Stauffer, D.C.
• Steven J. Finley, DO, PLLC
• Stillwater Medical Center Authority (Cushing Primary Care)
• Stillwater Medical Center Authority (Cimarron Primary Care)

• General Practice Dentistry in Cushing, OK
• Providers in Cushing, 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 Aug 11, 2020; 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.