Individual provider · Type 1 NPI

Jonathan Chu-Ming Soetandio, DMD

General Practice Dentistry · Tulsa, OK

NPI number 1093329260 Active

Practice location

5510 E 41st St Ste C
Tulsa, OK 74135-6009

Call (918) 641-4635 Map

Mailing address

215 S Loop 336 W
Conroe, TX 77304-3305

Other practice locations

  • 215 S Loop 336 W, Conroe, TX 77304-3305 · (936) 270-1294

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X7387 (OK)
General Practice Dentistry Primary 1223G0001X37917 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5 other providers at this address

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About NPI 1093329260

Jonathan Chu-Ming Soetandio, DMD's National Provider Identifier is 1093329260, issued on Sep 3, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tulsa, OK. The record was last updated on Dec 14, 2021.