MEDICARE: HEALTHY SMILES FAMILY DENTISTRY PLLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	5138	OK

General Provider Information

NPI Number	:	1417052689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY SMILES FAMILY DENTISTRY PLLP

Provider Business Mailing Address
First Line	:	600 W WILL ROGERS BLVD
Second Line	:
City	:	CLAREMORE
State	:	OK
Zip	:	74017-6825
Country	:	US
Telephone Number	:	918-343-4300
Fax Number	:	918-342-4697

Provider Business Practice Location Address
First Line	:	600 W WILL ROGERS BLVD
Second Line	:
City	:	CLAREMORE
State	:	OK
Zip	:	74017-6825
Country	:	US
Telephone Number	:	918-343-4300
Fax Number	:	918-342-4697

Authorized Official
Title or Position	:	DENTIST
Name	:	MRS. LORI HARE
Credential	:	DDS
Telephone Number	:	918-343-4300

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	09/20/2022

Similar Medicare Providers

1932150307 — TRINTIY HOSPICE, LLC
Practice Location Address:

1222 NORTH FLORENCE
CLAREMORE, OK
74017-6825

Practice Phone: 918-343-4884
Practice Fax: 972-386-0704

1154482990 — DR. BILLIE THOMPSON REEDER DDS
Practice Location Address:

600 W WILL ROGERS BLVD
CLAREMORE, OK
74017-6825

Practice Phone: 918-343-4300
Practice Fax: 918-342-4697

1831027929 — KYMBERLY NEUMAYR
Practice Location Address:

1219 W DUPONT ST
CLAREMORE, OK
74017-5318

Practice Phone: 918-341-1424
Practice Fax:

1699603084 — PEYTON LAINE MOORE
Practice Location Address:

10910 E CANYON OAKS PL
CLAREMORE, OK
74017-0735

Practice Phone: 918-671-1983
Practice Fax:

1275460214 — LAUREL-ANNE JOHNSON
Practice Location Address:

3100 MEDICAL PKWY
CLAREMORE, OK
74017-1088

Practice Phone: 844-458-2100
Practice Fax:

1669703690 — ELEVATE PEDIATRIC THERAPIES PC
Practice Location Address:

1110 W WILL ROGERS BLVD
CLAREMORE, OK
74017-5421

Practice Phone: 918-341-4343
Practice Fax: 918-341-8687

Directions to “HEALTHY SMILES FAMILY DENTISTRY PLLP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.