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: August 16, 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
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

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.

Dentist
3015 E 91ST ST
TULSA, OK 74137
Preferred Provider Organization
3015 E 91ST ST
TULSA, OK 74137

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 Blair Dieterlen's NPI number?

The NPI number for Blair Dieterlen is 1710853825. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Blair Dieterlen located?

Blair Dieterlen practices at 3015 E 91st St, Tulsa, OK 74137. The listed phone number is (918) 299-2400.

What is Blair Dieterlen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Blair Dieterlen was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.