| Tulsa Prosth Pllc | |
|
6565 S Yale Ave Ste 1012 Tulsa OK 74136-8311 | |
| (918) 743-1558 | |
| Not Available |
| Full Name | Tulsa Prosth Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6565 S Yale Ave Ste 1012, Tulsa, Oklahoma |
| Authorized Official Name and Position | Mike Yates (CFO) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Prosth Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Tulsa Prosth Pllc 6565 S Yale Ave Ste 1012 Tulsa OK 74136-8311 Ph: (918) 743-1558 |
| NPI Number | 1417529801 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417529801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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