Pediatric Dental Group, Llc

  • 1609018548 NPI Number
  • |
  • Actived: 15 years ago
  • |
Pediatric Dental Group, Llc is a health care provider based in Tulsa, OK. The NPI Number is 1609018548 and it has been active since 15 years ago. The specialty is Pediatric Dentistry, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Pediatric Dentistry services, Pediatric Dental Group, Llc is an excellent option. We are here to help you get the care you need.

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Overview of Pediatric Dental Group, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 03/24/2009
  • Last updated: 03/24/2009

Primary Scrop of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 784
  • License State: OK

Provider Mailing Address

  • Address: 1421 E 13th St
    Tulsa, OK 74120
  • Phone: 918-585-3744
  • Fax: 918-585-3774

Provider Practice Location

  • Address: 1421 E 13th St
    Tulsa, OK 74120
  • Phone: 918-585-3744
  • Fax: 918-585-3774

Authorized Official

  • Name: DR. Charles R Keithline III DDS
  • Position/Title: Managing Member
  • Telephone Number: 918-585-3744

Scope of Practice

  • Taxonomy Code: 1223P0221X
  • Specialty: Pediatric Dentistry
  • License Number: 784
  • License State: OK
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 100635530C
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OK
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Pediatric Dental Group, Llc?
  • A: The npi number for Pediatric Dental Group, Llc is 1609018548.
  • Q: What are Pediatric Dental Group, Llc's specialties?
  • A: Pediatric Dental Group, Llc's specialties are Pediatric Dentistry and different specialities.
  • Q: Where is Pediatric Dental Group, Llc business practice location?
  • A: Pediatric Dental Group, Llc business practice location is 1421 E 13th St, Tulsa, OK 74120.
  • Q: How to contact Pediatric Dental Group, Llc?
  • A: You can contact Pediatric Dental Group, Llc via 918-585-3744.
  • Q: What is the authorized official for Pediatric Dental Group, Llc?
  • A: The authorized office name is DR. Charles R Keithline III DDS with position/title is Managing Member and you can reach the authorized official via phone number 9185853744.
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