Oklahoma Smiles Youth Dentistry, Pllc

NPI #1962451104 in Tulsa, Oklahoma

Provider Information

NPI Number
1962451104
Entity Type
Organization
Organization Name
Oklahoma Smiles Youth Dentistry, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
May 7, 2006
Last Updated
Jul 9, 2014

Practice Location

Address
401A S UTICA AVE
City
Tulsa
ZIP Code
74104-2608
Phone
(918) 599-8383

Authorized Official

Name
MRS. JENELL STUMP
Title
MANAGER, LICENSING & CREDENTIALING
Phone
(615) 750-0343

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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