| South Tulsa Kids Dental | |
|
10127 S Yale Ave Tulsa OK 74137-6002 | |
| (918) 998-0996 | |
| Not Available |
| Full Name | South Tulsa Kids Dental |
|---|---|
| Speciality | Dentist |
| Location | 10127 S Yale Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Creed Cardon (OWNER) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Tulsa Kids Dental 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | South Tulsa Kids Dental 10127 S Yale Ave Tulsa OK 74137-6002 Ph: (918) 998-0996 |
| NPI Number | 1790437952 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790437952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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