NPI Details
DR. Matthew Raymond Radant, MD, DDS is an oral maxillofacial surgery in Tulsa, OK with 8 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Matthew Raymond Radant, MD, DDS NPI is 1316226087. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018
The provider's business location address is:
6161 S YALE AVE
TULSA, OK
ZIP 74136-902
Phone: (918) 494-1805
Fax: (918) 494-4573
The NPI 1316226087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 8/11/2011 and was last updated on 12/11/2024.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 1223S0112X | Dentist | Oral and Maxillofacial Surgery | 7455 | OKLAHOMA | No |
| 2 | 208600000X | Surgery | | 35081 | OKLAHOMA | No |
| 3 | 204E00000X | Oral & Maxillofacial Surgery | | 35081 | OKLAHOMA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 200981500A | MEDICAID | OKLAHOMA | |
