institution
Larry D. Lander D.d.s.,m.s. Inc
Oral and Maxillofacial Surgery (Dentist) in Tulsa, Oklahoma
NPI 1619291762

Larry D. Lander D.d.s.,m.s. Inc is a Oral and Maxillofacial Surgery (Dentist) based in Tulsa, OK and is specialized in Oral and Maxillofacial Surgery. Larry D. Lander D.d.s.,m.s. Inc practices in Tulsa, OK. The NPI Number for Larry D. Lander D.d.s.,m.s. Inc is 1619291762 and holds a License No. 3818 (Oklahoma).

The current practice location address for Larry D. Lander D.d.s.,m.s. Inc is 6132 E 61St St, Tulsa, OK and can be reached out via phone at 918-494-8634 and via fax at 918-494-8636.

Location: 6132 E 61St St, Tulsa, OK, 74136-2117
institution
Provider Profile Details
NPI Number
1619291762
Provider Name
Larry D. Lander D.d.s.,m.s. Inc
Credential
Provider Entity Type
Organization
Address
6132 E 61St St, Tulsa, OK, 74136-2117
Phone Number
918-494-8634
Fax Number
918-494-8636
Provider Enumeration Date
03/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100174460A 05 OK
institution
Provider Business Practice Location Address Details
Address
6132 E 61St St
City
State
Zip
74136-2117
Phone Number
918-494-8634
Fax Number
918-494-8636
person
Provider Business Mailing Address Details
Address
6132 E 61St St
City
State
Zip
74136-2117
Phone Number
918-494-8634
Fax Number
918-494-8636
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
3818 (Oklahoma)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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