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BLAIR DIETERLEN
NPI 1710853825
Dentist - General Practice in Tulsa, OK

Active since October 15, 2025
3015 E 91ST ST, TULSA, OK 74137(918) 299-2400 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blair Dieterlen NPPES

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

BLAIR DIETERLEN (NPI 1710853825) is an individual general practice provider in Tulsa, Oklahoma, licensed in Oklahoma (8027) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1710853825
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameBLAIR DIETERLEN
Location Address3015 E 91ST STTulsa, OK 74137-3324
Mailing Address3015 E 91st StTulsa, OK 74137-3324 · (918) 299-2400
Phone(918) 299-2400
Sole ProprietorYes
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1710853825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 8027
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.

3015 E 91ST ST, Tulsa, OK 74137
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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.

DR. BRETT BUCHANAN DIETERLEN D.D.S.,B.S.
Dentist
3015 E 91ST ST
TULSA, OK 74137
Tulsa County (918) 299-2400
BRETT B. DIETERLEN D.D.S., P.C.
Preferred Provider Organization
3015 E 91ST ST
TULSA, OK 74137
Tulsa County (918) 299-2400

Frequently Asked Questions

What is Blair Dieterlen's NPI number?

The NPI number assigned to this healthcare provider is 1710853825, enumerated as an "individual" on October 15, 2025.

Where is the provider located?

The provider is located at 3015 E 91ST ST TULSA, OK 74137 and the phone number is (918) 299-2400.

What is the provider's specialty?

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