Randall Jeffrey Crook in Tulsa - General Practice
Randall Jeffrey Crook - NPI 1417082512
Randall Jeffrey Crook is a General Practice in Tulsa, Oklahoma. Randall Jeffrey Crook practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall Jeffrey Crook is 1417082512. The last update date is 2007-07-08.
Randall Jeffrey Crook's current location address is 5424 S Memorial Dr Ste A, Tulsa, Oklahoma. You can contact this provider via phone number 9186646845 and fax number 9186646847. The mailing address for Randall Jeffrey Crook is 5424 S Memorial Dr Ste A, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Jeffrey Crook |
|---|---|
| Address | 5424 S Memorial Dr Ste A, Tulsa, Oklahoma |
| Phone Number | 9186646845 |
| Fax Number | 9186646847 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417082512 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5424 S Memorial Dr Ste A |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741459003 |
| Phone Number | 9186646845 |
| Fax Number | 9186646847 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3807 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Randall Jeffrey Crook by the Centers for Medicare & Medicaid Services?
The Randall Jeffrey Crook has been assigned the NPI (National Provider Identifier) 1417082512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Randall Jeffrey Crook?
The Randall Jeffrey Crook is physically situated at 5424 S Memorial Dr Ste A, in the city of Tulsa, state of OK, with the postal code 741459003.
What is Randall Jeffrey Crook's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall Jeffrey Crook's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Randall Jeffrey Crook's 1417082512 issued?
The Randall Jeffrey Crook's 1417082512 was issued on 2007-02-22.
As of what date was the information regarding Randall Jeffrey Crook, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randall Jeffrey Crook, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.