Organization · Type 2 NPI

Fox Broermann Pediatric Dentistry of Tulsa

Pediatric Dentistry · Tulsa, OK

NPI number 1114249190 Active

Practice location

6585 S Yale Ave Ste 510
Tulsa, OK 74136-8384

Fax (918) 492-1834

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	5739 (OK)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

Other pediatric dentistry providers in Tulsa

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NPI record

NPI: 1114249190
Entity type: Organization (Type 2)
Issued: Feb 18, 2010
Last updated: Jan 20, 2020
Status: Active

Other names

<unavail>
Smith & Fox Broermann · doing business as
Sarah Fox Broermann · former legal business name

Authorized official

Dr. Sarah M Fox, DDDS, MS
Dentist, Owner
(918) 492-1106

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114249190

Fox Broermann Pediatric Dentistry of Tulsa's National Provider Identifier is 1114249190, issued on Feb 18, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tulsa, OK. The record was last updated on Jan 20, 2020.