George Michael Bird, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3091 Issued in OK

Practice address

Hwy 82 N
Grand Village Center #4
Langley, OK 74350-0189

Phone

(918) 782-2009

Fax

(918) 782-1042

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeremy Hopkins, DDS, PLLC

  • General Practice Dentistry
  • Langley, OK
  • NPI 1578431383

  General Practice

  NPD (past)
• The Dentists at Langley

  • General Practice Dentistry
  • Langley, OK
  • NPI 1629254776

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2008.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1922090620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "address_2": "GRAND VILLAGE CENTER #4",
            "city": "LANGLEY",
            "state": "OK",
            "postal_code": "743500189",
            "telephone_number": "918-782-2009",
            "fax_number": "918-782-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 82 N",
            "address_2": "GRAND VILLAGE CENTER #4",
            "city": "LANGLEY",
            "state": "OK",
            "postal_code": "743500189",
            "telephone_number": "918-782-2009",
            "fax_number": "918-782-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookshire Grocery Company
• Glen Burnett, RPH
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• Peter O Fowler III, DPH
• Deborah Hamilton

• All providers in Langley, OK
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.