Active NPI
Dental Health Professionals of Oklahoma, P.C.
- General Practice Dentistry
- Bethany, OK
National Provider Identifier
1316485477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL HEALTH PROFESSIONALS OF OKLAHOMA, P.C.
- Practice address
- 3645 N Council Rd
Bethany, OK 73008-3507 - Phone
- (405) 789-7893
- NPI assigned
- Feb 8, 2017
- Organization subpart
- Yes
- Parent organization
- DENTAL HEALTH PROFESSIONALS OF OKLAHOMA, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassandra Teutsch
- Title
- Credentialing Coordinator
- Phone
- (217) 540-8972
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3645 N Council Rd
Bethany, OK 73008-3507
Mailing address
3645 N Council Rd
Bethany, OK 73008-3507
Phone (405) 789-7893
Other names 1
- Center for Exceptional Dentistry
National Provider Directory
National Provider Directory- Part of
- Dental Health Professionals of Oklahoma PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Bethany, OK
- NPI 1124722285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486512000000",
"number": "1316485477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 N COUNCIL RD",
"city": "BETHANY",
"state": "OK",
"postal_code": "730083507",
"telephone_number": "405-789-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 N COUNCIL RD",
"city": "BETHANY",
"state": "OK",
"postal_code": "730083507",
"telephone_number": "405-789-7893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL HEALTH PROFESSIONALS OF OKLAHOMA, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTAL HEALTH PROFESSIONALS OF OKLAHOMA, P.C.",
"enumeration_date": "2017-02-08",
"last_updated": "2017-02-08",
"status": "A",
"authorized_official_last_name": "TEUTSCH",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "217-540-8972"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for Exceptional Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.