PEDIATRIC DENTISTRY OF TULSA P.C. (NPI# 1457518961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457518961 |
Entity Type | Organization |
Organization Name | PEDIATRIC DENTISTRY OF TULSA P.C. |
Practice Address |
5602 S Memorial Dr Tulsa OK 74145-9016 |
Practice Telephone | 9186649797 |
Practice Fax Number | 9186641666 |
Mailing Telephone | 9186649797 |
Mailing Fax Number | 9186641666 |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |
Authorized Official Name | DR. RONALD LYNN WINDER (PRESIDENT) |
Authorized Official Telephone | 9186649797 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3620 | OK | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | UNITED CONCORDIA | 013754 | 01 |
OK | 100191810A | 05 |
Street Address |
5602 S MEMORIAL DR |
City | TULSA |
State | OK |
Zip Code | 74145-9016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376542928 | Ronald Lynn Winder | Dentist | 5602 S Memorial Dr, Tulsa, OK 74145-9016 | 2005-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
Find all providers in zip 74145 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760864235 | Pediatric Dental Group II, LLC | Dentist | 7715 E 91st St Ste A, Tulsa, OK 74133-6060 | 2015-06-22 |
1548472137 | James F. Owens Dds Ms PC | Dentist | 10507 E 91st Street Suite 410, Tulsa, OK 74133 | 2007-05-04 |
1235283524 | Thomas Harold Gilbert Sr. | Dentist | 7116 S Mingo Rd, # 112, Tulsa, OK 74133 | 2007-01-23 |
1932269933 | Charles R. Keithline | Dentist | 1421 E 13th St, Tulsa, OK 74120-5207 | 2006-12-11 |
1356351662 | Mlk Dentistry Inc | Dentist | 2930 S Pittsburg Ave, Tulsa, OK 74114 | 2006-08-09 |
1750326690 | Sarah M Fox | Dentist | 6585 S Yale Ave Ste 510, Tulsa, OK 74136-8384 | 2006-06-17 |
1598742751 | James George Steyer Jr. | Dentist | 10127 S Yale Ave, Tulsa, OK 74137-6002 | 2005-12-29 |
1881688513 | Gary Wallace Fisher | Dentist | 1203 E 33rd St, Ste 100, Tulsa, OK 74105-2040 | 2005-09-08 |
1376542928 | Ronald Lynn Winder | Dentist | 5602 S Memorial Dr, Tulsa, OK 74145-9016 | 2005-07-17 |
1992368278 | On The Cusp Midtown Pllc | Dentist | 4444 S Harvard Ave, Tulsa, OK 74135-2634 | 2019-04-22 |
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.