Organization · Type 2 NPI

Pediatric Dental Group, LLC

Pediatric Dentistry · Tulsa, OK

NPI number 1609018548 Active

Practice location

1421 E 13th St
Tulsa, OK 74120-5207

Call (918) 585-3744 Map

Fax (918) 585-3774

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X784 (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.

3 other providers at this address

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About NPI 1609018548

Pediatric Dental Group, LLC's National Provider Identifier is 1609018548, issued on Mar 24, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tulsa, OK. The record was last updated on Mar 24, 2009.