South Sooner Dental Partners

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH SOONER DENTAL PARTNERS

Practice address

1060 SW 4TH St Ste 200
Moore, OK 73160

Phone

(405) 384-7071

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Tanner Prescott, DMD

Title

Doctor

Phone

(405) 384-7071

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua James Mundell, DMD

  • General Practice Dentistry
  • Moore, OK
  • NPI 1821734492
  NPD (past)
• Britney Ngoc Nguyen, DDS

  • General Practice Dentistry
  • Moore, OK
  • NPI 1740938190
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1316458383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 SW 4TH ST STE 200",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602494",
            "telephone_number": "405-384-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SW 4TH ST STE 200",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "405-384-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOONER DENTAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "405-384-7071",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR NPI",
            "identifier": "1629595046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Yi Snow
• Margaret Snyder
• Armando Jordan Soto
• South Moore Medical Clinic, PC
• South Moore Medical Clinic,PC
• Sparks Medical Consulting LLC
• Audrianna Sparks
• Audrey Yvonne Spear, APRN-CNP, PMHNP-BC
• Stephanie Leigh Spears, DPT
• Nathan Spencer

• General Practice Dentistry in Moore, OK
• Providers in Moore, 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 Sep 7, 2018; 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.