Stillwater Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STILLWATER DENTAL ASSOCIATES

Practice address

1439 S Western Rd
Stillwater, OK 74074-6957

Phone

(405) 624-3880

Fax

(405) 624-3888

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Zachary McNickle, DDSNPI 1356385678

Title

Owner

Phone

(405) 624-3880

Specialties & licenses 3

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.

• Zachary Norman McNickle, DDS

  • General Practice Dentistry
  • Stillwater, OK
  • NPI 1356385678
  NPD (past) Authorized official
• Diane Vincent, D.D.S.

  • General Practice Dentistry
  • Stillwater, OK
  • NPI 1285015644
  NPD
• Rick Keith Jungers, D.D.S.

  • General Practice Dentistry
  • Stillwater, OK
  • NPI 1881708493
  NPD (past)

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1689946964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 S WESTERN RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746957",
            "telephone_number": "405-624-3880",
            "fax_number": "405-624-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 S WESTERN RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746957",
            "telephone_number": "405-624-3880",
            "fax_number": "405-624-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "MCNICKLE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-624-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "3939",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5802",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan L Stewart
• Tom R Stewart, D.D.S., M.S.D.
• Stillwater Chiropractic Clinic Inc
• Stillwater Counseling Center
• Stillwater Dental and Implants, LLC
• Stillwater Dentistry & Braces
• Stillwater Dermatology Clinic
• Stillwater Domestic Violence Services, Inc.
• Stillwater Endodontics Darrell W. Daugherty, DDS,PC
• Stillwater Eyecare Center, P.L.L.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.