ON THE CUSP PEDIATRIC DENTISTRY PLLC NPI 1114287091

NPI Information

ON THE CUSP PEDIATRIC DENTISTRY, PLLC 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. ON THE CUSP PEDIATRIC DENTISTRY, PLLC NPI is 1114287091. The provider is registered as an organization entity type.

The provider's business location address is:

8222 E 103RD ST STE 133
TULSA, OK
ZIP 74133-027
Phone: (918) 970-4944
Fax: (918) 970-4593

The provider's authorized official is Ryan Roberts .
The authorized official title is Owner/member and has the following contact phone number (918) 970-4944.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 8/14/2023.

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

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