Shortline Dental Pllc in Tulsa - General Practice
Shortline Dental Pllc - NPI 1871612713
Shortline Dental Pllc is a General Practice in Tulsa, Oklahoma. Shortline Dental Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shortline Dental Pllc is 1871612713. The last update date is 2007-11-29.
Shortline Dental Pllc's current location address is 9908 E 21st St, Tulsa, Oklahoma. You can contact this provider via phone number 9183840099 and fax number 9183840033. The mailing address for Shortline Dental Pllc is 9908 E 21st St, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shortline Dental Pllc |
|---|---|
| Address | 9908 E 21st St, Tulsa, Oklahoma |
| Phone Number | 9183840099 |
| Fax Number | 9183840033 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Riggs Lundy Michael |
| Credentials | DDS |
| Telephone Number | 9183840099 |
NPI Number Detail
| NPI Number | 1871612713 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 9908 E 21st St |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741291620 |
| Phone Number | 9183840099 |
| Fax Number | 9183840033 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | P-35 |
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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 identification code assigned to Shortline Dental Pllc by the Centers for Medicare & Medicaid Services?
The Shortline Dental Pllc has been issued the NPI (National Provider Identifier) 1871612713. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shortline Dental Pllc's facilities are geographically located?
The facilities of Shortline Dental Pllc are physically situated at the following location: 9908 E 21St St, Tulsa, OK, 741291620.
What is Shortline Dental Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shortline Dental Pllc is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871612713 to Shortline Dental Pllc?
The Centers for Medicare & Medicaid Services assigned the 1871612713 to Shortline Dental Pllc on 2007-03-29.
As of what date were the Shortline Dental Pllc's details last updated?
The information pertaining to the Shortline Dental Pllc, including its address, specialty, and other details, was most recently updated on 2007-11-29.