| Dba On The Cusp Midtown | |
|
4444 S. Harvard Ave Ste 100 Tulsa OK 74135 | |
| (918) 970-4944 | |
| (918) 271-5618 |
| Full Name | Dba On The Cusp Midtown |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4444 S. Harvard Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Ryan Scott Roberts (CEO) |
| Authorized Official Contact | 9189704944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba On The Cusp Midtown 4444 S. Harvard Ave Ste 100 Tulsa OK 74135 Ph: (918) 970-4944 | Dba On The Cusp Midtown 4444 S. Harvard Ave Ste 100 Tulsa OK 74135 Ph: (918) 970-4944 |
| NPI Number | 1992368278 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 11/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992368278 | NPI | - | NPPES |
| 200258530A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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