PEDIATRIC DENTISTRY OF TULSA P.C.


Address: 5602 S Memorial Dr, Tulsa, OK 74145-9016
Phone: 9186649797

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
3620 OK Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK UNITED CONCORDIA 013754 01
OK 100191810A 05

Office Location

Street Address 5602 S MEMORIAL DR
City TULSA
State OK
Zip Code 74145-9016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376542928 Ronald Lynn Winder Dentist 5602 S Memorial Dr, Tulsa, OK 74145-9016 2005-07-17

Providers in the same zip code

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 Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

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

Competitor

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City TULSA
Zip Code 74145

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Dataset Information

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.

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