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DUSTIN SHAUN TEDESCO PLLC
NPI 1063822633
Internal Medicine - Nephrology in Norman, OK

Active since May 05, 2014
1553 N PORTER AVE, NORMAN, OK 73071(405) 217-8500(405) 217-8501 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dustin Shaun Tedesco Pllc NPPES

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

DUSTIN SHAUN TEDESCO PLLC (NPI 1063822633) is a healthcare organization registered as a nephrology in Norman, Oklahoma and active in the NPI registry since May 2014. The organization lists Shaun Tedesco, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1063822633
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameDUSTIN SHAUN TEDESCO PLLC
Location Address1553 N PORTER AVENorman, OK 73071-6621
Mailing Address1553 N Porter AveNorman, OK 73071-6621 · (405) 217-8500 · Fax (405) 217-8501
Phone(405) 217-8500
Fax(405) 217-8501
Organization SubpartNo
Authorized OfficialShaun TedescoOwner/physician · (405) 936-0504
Enumeration DateMay 5, 2014
✔ NPI 1063822633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OK · 25729
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1553 N PORTER AVE, Norman, OK 73071
Open in Google Maps ↗

Other Identifiers 1

Medicaid200206650BOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

DR. KENDRAL RAYMON KNIGHT M.D.
Internal Medicine (Nephrology)
1553 N PORTER AVE
NORMAN, OK 73071
Cleveland County (405) 217-8500
DAVID COLLIER WILLIAMS M.D.
Internal Medicine (Nephrology)
1553 N PORTER AVE
NORMAN, OK 73071
Cleveland County (405) 217-8500
DUSTIN SHAWN TEDESCO MD
Internal Medicine
1553 N PORTER AVE
NORMAN, OK 73071
Cleveland County (405) 217-8500
CUONG DINH NGUYEN MD
Internal Medicine (Nephrology)
1553 N PORTER AVE
NORMAN, OK 73071
Cleveland County (405) 217-8500
MR. OSWALD LLANDEROSOS M.D.
Internal Medicine (Nephrology)
1553 N PORTER AVE
NORMAN, OK 73071
Cleveland County (405) 217-8500
DAVID C WILLIAMS MD PC
Internal Medicine (Nephrology)
1553 N PORTER AVE
NORMAN, OK 73071
Cleveland County (405) 217-8500
CUONG DINH NGUYEN, MD PC
Clinic/Center (Medical Specialty)
1553 N PORTER AVE
NORMAN, OK 73071
Cleveland County (405) 217-8500
DELIA CRISTINA SARALE M.D.
Medical Genetics (Clinical Genetics (M.D.))
1553 N PORTER AVE
NORMAN, OK 73071
Cleveland County (405) 217-8500

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 Dustin Shaun Tedesco PLLC's NPI number?

The NPI number for Dustin Shaun Tedesco PLLC is 1063822633. It was assigned to this organization in the NPPES registry on May 5, 2014.

Where is Dustin Shaun Tedesco PLLC located?

Dustin Shaun Tedesco PLLC is located at 1553 N Porter Ave, Norman, OK 73071. The listed phone number is (405) 217-8500.

What is Dustin Shaun Tedesco PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Dustin Shaun Tedesco PLLC was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.