institution
On The Cusp Pediatric Dentistry, Pllc
Dental Clinic/Center in Tulsa, Oklahoma
NPI 1114287091

On The Cusp Pediatric Dentistry, Pllc is a Dental Clinic/Center based in Tulsa, OK and is specialized in Dental. On The Cusp Pediatric Dentistry, Pllc practices in Tulsa, OK. The NPI Number for On The Cusp Pediatric Dentistry, Pllc is 1114287091 and holds a License No. (Oklahoma).

The current practice location address for On The Cusp Pediatric Dentistry, Pllc is 8222 E 103Rd St Ste 133, Tulsa, OK and can be reached out via phone at 918-970-4944 and via fax at 918-970-4593.

Location: 8222 E 103Rd St Ste 133, Tulsa, OK, 74133-7081
institution
Provider Profile Details
NPI Number
1114287091
Provider Name
On The Cusp Pediatric Dentistry, Pllc
Credential
Provider Entity Type
Organization
Address
8222 E 103Rd St Ste 133, Tulsa, OK, 74133-7081
Phone Number
918-970-4944
Fax Number
918-970-4593
Provider Enumeration Date
05/24/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200258530A 05 OK
institution
Provider Business Practice Location Address Details
Address
8222 E 103Rd St Ste 133
City
State
Zip
74133-7027
Phone Number
918-970-4944
Fax Number
918-970-4593
person
Provider Business Mailing Address Details
Address
8222 E 103Rd St Ste 133
City
State
Zip
74133-7027
Phone Number
918-970-4944
Fax Number
918-970-4593
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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