Mobile Dental Services, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5809 Issued in OK

Legal business name

MOBILE DENTAL SERVICES, LLC

Practice address

615 E 17TH St
Stroud, OK 74079-5316

Phone

(918) 706-5584

NPI assigned

Dec 19, 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

Ayan Lawson, D.M.D.

Title

President

Phone

(918) 706-5584

Specialties & licenses 1

Addresses

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.

• Casey Dillon Osterhout, DMD

  • General Practice Dentistry
  • Wilburton, OK
  • NPI 1073676862
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598828477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 17TH ST",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740795316",
            "telephone_number": "918-706-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 17TH ST",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740795316",
            "telephone_number": "918-706-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "AYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-706-5584",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Michelle McGuire, ARPN
• Andrea Kay McKee, REGISTERED NURSE
• Khristal Dawn McLeod
• Debra Kay Mee, M.D.
• Stacie Marie Miller, PHARM. D.
• Timothy Dean Moore, O.D., P.C.
• Amber Dawn Morgan, APRN
• Ashlee Dawn Morgan, PRSS
• Aislinn Mae Munson
• John Daniel Neal

• General Practice Dentistry in Stroud, OK
• Providers in Stroud, 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 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.