Individual provider · Type 1 NPI

Tonie Waller, DDS

Dentist · Ada, OK

NPI number 1720284458 Active

Practice location

1921 Stonecipher Boulevard
Ada, OK 74820-3439

Fax (580) 421-6283

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	5058 (OK)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1720284458

Tonie Waller, DDS's National Provider Identifier is 1720284458, issued on Jun 21, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Ada, OK. The record was last updated on May 18, 2015.