DR. CHARLES R. KEITHLINE


Address: 1421 E 13th St, Tulsa, OK 74120-5207
Phone: 9185853744

DR. CHARLES R. KEITHLINE (NPI# 1932269933) 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) 1932269933
Entity Type Individual
Full Name DR. CHARLES R. KEITHLINE
Credential DDS
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 2006-12-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
3942 OK Dental Providers

Office Location

Street Address 1421 E 13TH ST
City TULSA
State OK
Zip Code 74120-5207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366775140 Ob Dental, LLC Dentist 1421 E 13th St, Tulsa, OK 74120-5207 2009-09-11
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

Providers in the same zip code

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 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
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
1114249190 Fox Broermann Pediatric Dentistry of Tulsa Dentist 6585 S Yale Ave Ste 510, Tulsa, OK 74136-8384 2010-02-18
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74120

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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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