Reusser and Reusser LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3804 Issued in OK

Legal business name

REUSSER AND REUSSER LLC

Doing business as

R2Center for Dentistry

Practice address

2619 S Elm PL
Broken Arrow, OK 74012-7878

Phone

(918) 455-0811

Fax

(918) 451-4787

NPI assigned

May 16, 2007

Last updated

Dec 7, 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

Terra L. Reusser, DDS

Title

Dentist/Owner

Phone

(316) 249-3929

Specialties & licenses 1

Addresses

Other names 1

• R2Center for Dentistry 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.

• Gary E Theobald, DMD

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1467597104
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1831305580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127878",
            "telephone_number": "918-455-0811",
            "fax_number": "918-451-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127878",
            "telephone_number": "918-455-0811",
            "fax_number": "918-451-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUSSER AND REUSSER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "REUSSER",
        "authorized_official_first_name": "TERRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "316-249-3929",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R2Center for Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, 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 Dec 7, 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.