Tahlequah Dental Care PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4927 Issued in OK

Legal business name

TAHLEQUAH DENTAL CARE PLLC

Practice address

212 N Muskogee Ave
Tahlequah, OK 74464-2726

Phone

(918) 456-2273

Fax

(918) 431-0938

NPI assigned

May 7, 2008

Last updated

May 9, 2012By 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 A. Geasland, D.D.S.

Title

Managing Member

Phone

(918) 456-2273

Specialties & licenses 1

Addresses

Other names 1

• John A. Geasland Dental Care Former legal business name

Locations

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1306012547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642726",
            "telephone_number": "918-456-2273",
            "fax_number": "918-431-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642726",
            "telephone_number": "918-456-2273",
            "fax_number": "918-431-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHLEQUAH DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "GEASLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-456-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John A. Geasland Dental Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• T M Baker, OD Inc.
• Aubry Tackett
• Staci Lynn Tackett, PHARM D
• Gary Scott Taggart, PA-C
• Tahlequah City Hospital
• Tahlequah Drug Company LLC (Tahlequah Drug Company)
• Tahlequah Family Medicine Clinic
• Tahlequah Family Vision Clinic, PLLC (Tahlequah Family Vision Clinic)
• Tahlequah Internal Medicine Inc
• Tahlequah Medical Associates

• General Practice Dentistry in Tahlequah, OK
• Providers in Tahlequah, 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 May 9, 2012; 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.