TULSA RESTORATIVE DENTISTRY PLLC
NPI 1639837354
Clinic/Center - Dental in Tulsa, OK
Active since November 30, 2021
About Tulsa Restorative Dentistry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TULSA RESTORATIVE DENTISTRY PLLC (NPI 1639837354) is a healthcare organization registered as a dental in Tulsa, Oklahoma and active in the NPI registry since November 2021. The organization lists William Robert Jennings, Owner, as its authorized official.
NPPES Registry Identity
NPI1639837354
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTULSA RESTORATIVE DENTISTRY PLLC
Location Address9445 S MINGO RDTulsa, OK 74133-5826
Mailing Address2109 Commerce St # 200Dallas, TX 75201-4305 · (972) 248-1221
Phone(918) 286-7776
Organization SubpartNo
Authorized OfficialWilliam Robert JenningsOwner · (940) 206-8956
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1639837354 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
9445 S MINGO RD, Tulsa, OK 74133
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639837354, enumerated as an "organization" on November 30, 2021.
The provider is located at 9445 S MINGO RD TULSA, OK 74133 and the phone number is (918) 286-7776.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.