Summer Dental Yukon, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUMMER DENTAL YUKON, PLLC

Practice address

12444 NW 10TH St.
BLDG H, Ste 107
Yukon, OK 73099

Phone

(918) 998-0996

NPI assigned

Nov 21, 2017

Last updated

Jun 15, 2018By 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

Renee McBay

Title

Credentialing Specialist

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Colby Troy Broadbent, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1558882548
  NPD (past)
• Thanh Huu Truong, DDS

  • General Practice Dentistry
  • Yukon, OK
  • NPI 1184368722
  NPD (past)
• Armin Zarkeshan, DD

  • Dentist
  • Yukon, OK
  • NPI 1972179968
  NPD (past)

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1609380005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-235-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 NW 10TH ST.",
            "address_2": "BLDG H, STE 107",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "918-998-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER DENTAL YUKON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "MCBAY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marion K. Studebaker, M.D.
• Colleen Sturiale, PT
• Candace L. Sturlin, PA-C
• Mandy Elise Sudik, RD
• Lisa Marie Sullivan, APRN-CNP
• Joanna Lynn Summers
• Sunstone Family Therapy
• Surgical Partners of Oklahoma
• Surrey Hills Dental Inc
• Susan Dawn Gibson, LLC

• General Practice Dentistry in Yukon, OK
• Providers in Yukon, 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 Jun 15, 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.