PEDIATRIC DENTAL GROUP II LLC NPI 1760864235

NPI Information

PEDIATRIC DENTAL GROUP II, LLC is a pediatric dentistry dentist in Tulsa, OK. The provider is 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. PEDIATRIC DENTAL GROUP II, LLC NPI is 1760864235. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Dental Group Ii, Llc.

The provider's business location address is:

7715 E 91ST ST STE A
TULSA, OK
ZIP 74133-060
Phone: (918) 585-3744

The provider's authorized official is Shaun Urbanozo .
The authorized official title is Credentialing Manager and has the following contact phone number (719) 323-2362.

The enumeration date for this NPI number is 6/22/2015 and was last updated on 3/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.