| Greater Tulsa Orthodontics | |
|
3916 E 91st St Tulsa OK 74137-3602 | |
| (918) 488-8889 | |
| (918) 488-0676 |
| Full Name | Greater Tulsa Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3916 E 91st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kenner Misner (OWNER) |
| Authorized Official Contact | 9184888889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Tulsa Orthodontics 3916 E 91st St Tulsa OK 74137-3602 Ph: (918) 488-8889 | Greater Tulsa Orthodontics 3916 E 91st St Tulsa OK 74137-3602 Ph: (918) 488-8889 |
| NPI Number | 1932821428 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932821428 | NPI | - | NPPES |
| 1336650837 | Other | OK | INDIVIDUAL NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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