institution
Pediatric Dentistry Of Tulsa P.c.
Pediatric Dentist in Tulsa, Oklahoma
NPI 1457518961

Pediatric Dentistry Of Tulsa P.c. is a Pediatric Dentist based in Tulsa, OK and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Tulsa P.c. practices in Tulsa, OK. The NPI Number for Pediatric Dentistry Of Tulsa P.c. is 1457518961 and holds a License No. 3620 (Oklahoma).

The current practice location address for Pediatric Dentistry Of Tulsa P.c. is 5602 S Memorial Dr, Tulsa, OK and can be reached out via phone at 918-664-9797 and via fax at 918-664-1666. You can also correspond with Pediatric Dentistry Of Tulsa P.c. through the mailing address at 5602 S MEMORIAL DR, TULSA, OK - 74145-9016 (mailing address contact number: 918-664-9797).

Location: 5602 S Memorial Dr, Tulsa, OK, 74145-9016
institution
Provider Profile Details
NPI Number
1457518961
Provider Name
Pediatric Dentistry Of Tulsa P.c.
Credential
Provider Entity Type
Organization
Address
5602 S Memorial Dr, Tulsa, OK, 74145-9016
Phone Number
918-664-9797
Fax Number
918-664-1666
Provider Enumeration Date
05/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013754 01 OK UNITED CONCORDIA
100191810A 05 OK
institution
Provider Business Practice Location Address Details
Address
5602 S Memorial Dr
City
State
Zip
74145-9016
Phone Number
918-664-9797
Fax Number
918-664-1666
person
Provider Business Mailing Address Details
Address
5602 S Memorial Dr
City
State
Zip
74145-9016
Phone Number
918-664-9797
Fax Number
918-664-1666
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3620 (Oklahoma)
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.
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