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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: July 19, 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


The following 2 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

What is HERO DENTAL OF OKLAHOMA PC's NPI number?

The NPI number assigned to this healthcare provider is 1053875690, enumerated as an "organization" on January 28, 2019.

Where is the provider located?

The provider is located at 7715 E 91ST ST STE A TULSA, OK 74133 and the phone number is (918) 872-7009.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.