Spring Dental Pryor

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPRING DENTAL PRYOR

Practice address

101 S Adair St
Pryor, OK 74361-3625

Phone

(918) 825-7111

Fax

(918) 825-7116

NPI assigned

Jan 26, 2017

Last updated

Jun 14, 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 5

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.

• Keith Boren

  • Dentist
  • Pryor, OK
  • NPI 1851774293
  NPD (past)
• David George Hoffman, DDS

  • General Practice Dentistry
  • Pryor, OK
  • NPI 1902911951
  NPD (past)
• Michael Meek Sharp, DMD

  • Dentist
  • Idaho Falls, ID
  • NPI 1295317097
  NPD (past)
• Bryce E Slack

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1013438100
  NPD (past)
• Michael Woodhead, DMD

  • Dentist
  • Raytown, MO
  • NPI 1740832443
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1801333067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TERRACE",
            "address_2": "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": "101 S ADAIR ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743613625",
            "telephone_number": "918-825-7111",
            "fax_number": "918-825-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING DENTAL PRYOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2018-06-14",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donita Jo Smith, LPC
• Isaiah Allen Smith
• Keri Ann Smith, LPC
• Lori Triebel Smith, DDS
• Kaitlyn M Soldier
• Shande Spruell
• Shannon Rene' Stabers
• Anita Stacy, B.S
• Stephanie Renee Stacy
• Carol Steinbach, LADC

• General Practice Dentistry in Pryor, OK
• Providers in Pryor, 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 14, 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.