TRI CITY ORAL SURGERY PLLC
NPI 1366899510
Dentist - Oral and Maxillofacial Surgery in Newcastle, OK

Active since May 18, 2016
2822 NW 32ND ST, NEWCASTLE, OK 73065(405) 474-6362(405) 513-6542 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About TRI CITY ORAL SURGERY PLLC

This page provides the complete NPI Profile along with additional information for Tri City Oral Surgery Pllc, a provider established in Newcastle, Oklahoma operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1366899510 assigned on May 2016. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Tri City Oral Surgery Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dayne Jensen Dmd (Dentist)

NPI
1366899510 Verify this NPI
Provider Name
TRI CITY ORAL SURGERY PLLC
Entity Type
Organization
Location Address
2822 NW 32ND ST NEWCASTLE, OK 73065
Location Phone
(405) 474-6362
Location Fax
(405) 513-6542
Mailing Address
2822 NW 32ND ST NEWCASTLE, OK 73065
Mailing Phone
(405) 474-6362
Mailing Fax
(405) 513-6542
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2016
Last Update Date
05-18-2016
Code Navigator

A dentist like Tri City Oral Surgery Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAYNE JENSEN DMD

Authorized Official Title
DENTIST
Authorized Official Phone
(405) 474-6362

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366899510, enumerated as an "organization" on May 18, 2016.

The provider is located at 2822 NW 32ND ST NEWCASTLE, OK 73065 and the phone number is (405) 474-6362.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.