Pediatric Dentistry Of Tulsa P.C. in Tulsa - Pediatric Dentistry
Pediatric Dentistry Of Tulsa P.C. - NPI 1457518961
Pediatric Dentistry Of Tulsa P.C. is a Pediatric Dentistry in Tulsa, Oklahoma. Pediatric Dentistry Of Tulsa P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry Of Tulsa P.C. is 1457518961. The last update date is 2008-05-21.
Pediatric Dentistry Of Tulsa P.C.'s current location address is 5602 S Memorial Dr, Tulsa, Oklahoma. You can contact this provider via phone number 9186649797 and fax number 9186641666. The mailing address for Pediatric Dentistry Of Tulsa P.C. is 5602 S Memorial Dr, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry Of Tulsa P.C. |
|---|---|
| Address | 5602 S Memorial Dr, Tulsa, Oklahoma |
| Phone Number | 9186649797 |
| Fax Number | 9186641666 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Winder Lynn Ronald |
| Credentials | D.D.S. |
| Telephone Number | 9186649797 |
NPI Number Detail
| NPI Number | 1457518961 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 5602 S Memorial Dr |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741459016 |
| Phone Number | 9186649797 |
| Fax Number | 9186641666 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3620 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13754 | OK | UNITED CONCORDIA | |
| 100191810A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pediatric Dentistry Of Tulsa P.C. by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry Of Tulsa P.C. has been issued the NPI (National Provider Identifier) 1457518961 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Pediatric Dentistry Of Tulsa P.C.'s facilities are situated?
The facilities of Pediatric Dentistry Of Tulsa P.C. are physically located at the following address: 5602 S Memorial Dr, Tulsa, OK, 741459016.
What is Pediatric Dentistry Of Tulsa P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pediatric Dentistry Of Tulsa P.C. is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did Pediatric Dentistry Of Tulsa P.C. receive its 1457518961 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry Of Tulsa P.C. was assigned its 1457518961 on 2008-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Pediatric Dentistry Of Tulsa P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pediatric Dentistry Of Tulsa P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-21.