SMILE STOP DENTAL OF SOUTWEST TULSA NPI 1518414523

NPI Information

NPI: 1518414523
Provider Name: SMILE STOP DENTAL OF SOUTWEST TULSA

Doing Business As: DR. TARR'S SMILE STOP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5676 W SKELLY DR STE A
TULSA, OK
ZIP 74107
Phone: (918) 446-0128
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SMILE STOP DENTAL OF SOUTWEST TULSA is a dental clinic center in Tulsa, OK. SMILE STOP DENTAL OF SOUTWEST TULSA NPI is 1518414523. The provider is registered as an organization entity type.
The provider Is Doing Business As Dr. Tarr's Smile Stop.

The provider's business location address is:

5676 W SKELLY DR STE A
TULSA, OK
ZIP 74107-134
Phone: (918) 446-0128

The provider's authorized official is John Lard .
The authorized official title is Owner/dentist and has the following contact phone number (918) 336-1030.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.

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	261QD0000X	Clinic/Center	Dental	5779	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	5779	OTHER	OKLAHOMA	DENTAL LICENSE

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

NPI Synchronization or Removal

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