Marc Patrick Enterprises PC

Primary specialty

DentistTaxonomy code 122300000X

License

5579 Issued in OK

Legal business name

MARC PATRICK ENTERPRISES PC

Doing business as

All Smiles Dental - Marc B Patrick DDS

Practice address

1210 E Washington
Idabel, OK 74745-9998

Phone

(580) 286-4444

Fax

(580) 286-7632

NPI assigned

Aug 25, 2006

Last updated

Aug 22, 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

Marc B Patrick, DDSNPI 1790954956

Title

President

Phone

(580) 286-4444

Specialties & licenses 1

Addresses

Other names 1

• All Smiles Dental - Marc B Patrick DDS Doing business as

Locations

Practitioners 1

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.

• Marc Brent Patrick, DDS

  • Dentist
  • Idabel, OK
  • NPI 1790954956
  NPD (past) Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407964059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E WASHINGTON AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747459998",
            "telephone_number": "580-286-4444",
            "fax_number": "580-286-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E WASHINGTON",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747459998",
            "telephone_number": "580-286-4444",
            "fax_number": "580-286-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC PATRICK ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-286-4444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Smiles Dental - Marc B Patrick DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Ann Livergood, BSN
• Cassandra Ann Lockhart, PTA
• Brandie Long
• Theresa Ann Maderer, R.N.
• Ashley Manuel
• Gregory Matlock, B.S.
• June Matlock, R.N
• Mays Housecall Home Health of South East Ok, LLC (Mays Home Care Broken Bow)
• Vince E Maytubby, MA
• Margo McAtee

• Dentist in Idabel, OK
• Providers in Idabel, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.