Individual provider · Type 1 NPI

Courtney Mickle-Dittrich, DMD

General Practice Dentistry · Tulsa, OK

NPI number 1376230698 Active

Practice location

1334 N Lansing Ave
Tulsa, OK 74106-5907

Mailing address

9527 N 143rd East Ct
Owasso, OK 74055-4950

Other practice locations

  • 100 Brunswick Medical Center Pkwy NE, Bolivia, NC 28422-1001 · (910) 253-9000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X7904 (OK)

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.

51 other providers at this address

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About NPI 1376230698

Courtney Mickle-Dittrich, DMD's National Provider Identifier is 1376230698, issued on Apr 18, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tulsa, OK. The record was last updated on Sep 26, 2024.