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ENDODONTIC SPECIALISTS OF NORTHEAST OK NPI 1790951614


NPI Information

NPI: 1790951614
Provider Name: ENDODONTIC SPECIALISTS OF NORTHEAST OK
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
5555 E 71ST ST
STE 9210
TULSA, OK
ZIP 74136
Phone: (918) 524-3366
Get Directions

ENDODONTIC SPECIALISTS OF NORTHEAST OK is an endodontics dentist in Tulsa, OK. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ENDODONTIC SPECIALISTS OF NORTHEAST OK NPI is 1790951614. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5555 E 71ST ST
STE 9210
TULSA, OK
ZIP 74136-542
Phone: (918) 524-3366
Fax: (918) 524-3399

The provider's authorized official is Armella Glenn .
The authorized official title is Office Manager and has the following contact phone number (918) 524-3366.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 4/30/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics5644OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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