OB DENTAL, LLC (NPI# 1366775140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366775140 |
| Entity Type | Organization |
| Organization Name | OB DENTAL, LLC |
| Practice Address |
1421 E 13th St Tulsa OK 74120-5207 |
| Practice Telephone | 9185853744 |
| Practice Fax Number | 9185853774 |
| Mailing Telephone | 9185853744 |
| Mailing Fax Number | 9185853774 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Authorized Official Name | DR. CHARLES R KEITHLINE (MANAGING MEMBER) |
| Authorized Official Telephone | 9185853744 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5859 | OK | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | OB DENTAL, LLC | 1646 E 6th St, Tulsa, OK 74120 |
| Street Address |
1421 E 13TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74120-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932269933 | Charles R. Keithline | Dentist | 1421 E 13th St, Tulsa, OK 74120-5207 | 2006-12-11 |
| 1467680231 | Keithline Digital Imaging LLC | Dentist | 1421 E 13th St, Tulsa, OK 74120-5207 | 2009-06-30 |
| 1609018548 | Pediatric Dental Group, LLC | Dentist | 1421 E 13th St, Tulsa, OK 74120-5207 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1346801198 | Progressive Dental Care of Tulsa, Pllc | Dentist | 7614 E 91st St Ste 120, Tulsa, OK 74133-6047 | 2019-06-24 |
| 1295394211 | Hope Restorative and Cosmetic Dentistry | Dentist | 9445 S Mingo Rd Ste 120, Tulsa, OK 74133-5827 | 2019-06-12 |
| 1154988277 | Jeremy Ryan Archer | Dentist | 4606 E 67th St Ste 312, Tulsa, OK 74136-4950 | 2019-05-23 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1558852459 | Kyle Sikes | Dentist | 6565 S Yale Ave Ste 1104, Tulsa, OK 74136-8380 | 2018-05-25 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1114445285 | T-town Smiles, PC | Dentist | 6565 S Yale Ave # 1107, Tulsa, OK 74136-8327 | 2017-09-08 |
| 1235679440 | Tulsa Premier Dentistry, Pllc | Dentist | 7891 E 108th St Ste X4, Tulsa, OK 74133-7406 | 2017-03-07 |
| 1033571104 | Alexander D. Williams, D.d.s., P.C. | Dentist | 5510 E 41st St, Suite C, Tulsa, OK 74135-6009 | 2016-03-28 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.