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SOUTHARD FAMILY DENTAL, LLC
NPI 1366103244
Dentist in Tulsa, OK

Active since January 04, 2022
6333 S MEMORIAL DR, TULSA, OK 74133(918) 294-1144 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, Jan 4, 2022 (2 updates tracked since 2022).

About Southard Family Dental, Llc NPPES

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

SOUTHARD FAMILY DENTAL, LLC (NPI 1366103244) is a healthcare organization registered as a dentist in Tulsa, Oklahoma and active in the NPI registry since January 2022. The organization lists Loren Paul Israelsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366103244
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHARD FAMILY DENTAL, LLC
Location Address6333 S MEMORIAL DRTulsa, OK 74133-1948
Mailing Address6333 S Memorial DrTulsa, OK 74133-1948 · (918) 294-1144
Phone(918) 294-1144
Organization SubpartNo
Authorized OfficialLoren Paul IsraelsenCeo · (275) 773-0432
Enumeration DateJanuary 4, 2022
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1366103244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6333 S MEMORIAL DR, Tulsa, OK 74133
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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 2

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

WRANY R. SOUTHARD, D.D.S., P.C.
Dentist (General Practice)
6333 S MEMORIAL DR, SUITE G
TULSA, OK 74133
Tulsa County (918) 294-1144
BOLD DENTAL LLC
Clinic/Center (Dental)
6333 S MEMORIAL DR
TULSA, OK 74133
Tulsa County (918) 922-2653

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 Southard Family Dental, LLC's NPI number?

The NPI number for Southard Family Dental, LLC is 1366103244. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Southard Family Dental, LLC located?

Southard Family Dental, LLC is located at 6333 S Memorial Dr, Tulsa, OK 74133. The listed phone number is (918) 294-1144.

What is Southard Family Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Southard Family Dental, LLC was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.