| Glisten Dental Care Of Tulsa | |
|
9840 E 81st St Ste 101 Tulsa OK 74133-4585 | |
| (918) 254-8686 | |
| Not Available |
| Full Name | Glisten Dental Care Of Tulsa |
|---|---|
| Speciality | Dentist |
| Location | 9840 E 81st St Ste 101, Tulsa, Oklahoma |
| Authorized Official Name and Position | Heartland Dental (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glisten Dental Care Of Tulsa 9840 E 81st St Ste 101 Tulsa OK 74133-4585 Ph: (918) 254-8686 | Glisten Dental Care Of Tulsa 9840 E 81st St Ste 101 Tulsa OK 74133-4585 Ph: (918) 254-8686 |
| NPI Number | 1194257543 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 1355615840 |
|---|---|
| Medicare Enrollment ID | O20170921003216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194257543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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