| Tulsa Sculpted Smiles | |
|
4415 S Harvard Ave Ste 102 Tulsa OK 74135-2616 | |
| (918) 742-2096 | |
| Not Available |
| Full Name | Tulsa Sculpted Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4415 S Harvard Ave Ste 102, Tulsa, Oklahoma |
| Authorized Official Name and Position | Joshua Vernon Brasher (OWNER/MBR) |
| Authorized Official Contact | 4054746362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Sculpted Smiles 4415 S Harvard Ave Ste 102 Tulsa OK 74135-2616 Ph: (918) 742-2096 | Tulsa Sculpted Smiles 4415 S Harvard Ave Ste 102 Tulsa OK 74135-2616 Ph: (918) 742-2096 |
| NPI Number | 1417609447 |
|---|---|
| Provider Enumeration Date | 01/20/2022 |
| Last Update Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417609447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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