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HERO DENTAL OF OKLAHOMA PC
NPI 1053875690
Dentist - General Practice in Tulsa, OK

Active since January 28, 2019
7715 E 91ST ST STE A, TULSA, OK 74133(918) 872-7009 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hero Dental Of Oklahoma Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERO DENTAL OF OKLAHOMA PC (NPI 1053875690), doing business as Pediatric Dental Group Ii, Llc, is a healthcare organization registered as a general practice in Tulsa, Oklahoma and active in the NPI registry since January 2019. The organization lists Charlotte Souder, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1053875690
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHERO DENTAL OF OKLAHOMA PC
Location Address7715 E 91ST ST STE ATulsa, OK 74133-6060
Mailing Address2221 E Bijou St Ste 100Colorado Springs, CO 80909-8009 · (719) 576-1850
Phone(918) 872-7009
Organization SubpartNo
Authorized OfficialCharlotte SouderCredentialing Manager · (719) 649-0305
Enumeration DateJanuary 28, 2019
✔ NPI 1053875690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
7715 E 91ST ST STE A, Tulsa, OK 74133
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Other Names 1

Doing Business AsPediatric Dental Group Ii, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE LOVES EYES PLLC
Optometrist
7715 E 91ST ST STE A
TULSA, OK 74133
Tulsa County (918) 872-1009
PEDIATRIC DENTAL GROUP II, LLC
Dentist (Pediatric Dentistry)
7715 E 91ST ST STE A
TULSA, OK 74133
Tulsa County (918) 585-3744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hero Dental Of Oklahoma PC's NPI number?

The NPI number for Hero Dental Of Oklahoma PC is 1053875690. It was assigned to this organization in the NPPES registry on January 28, 2019. The provider is doing business as Pediatric Dental Group II, LLC.

Where is Hero Dental Of Oklahoma PC located?

Hero Dental Of Oklahoma PC is located at 7715 E 91st St Ste A, Tulsa, OK 74133. The listed phone number is (918) 872-7009.

What is Hero Dental Of Oklahoma PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Hero Dental Of Oklahoma PC was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.