Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Epiphany Dermatology of Oklahoma, LLC

Organization Dermatology Physician · NPI 1801320106

Epiphany Dermatology of Oklahoma, LLC is a Dermatology Physician in Tulsa, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10115 E 80th St Ste A
Tulsa, OK 74133-3421
Phone: (512) 628-0465
Fax: (512) 628-0468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1801320106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gheorghe Pusta — Ceo · (512) 628-0465
NPI enumeratedApril 13, 2017
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address7300 Ranch Rd. 2222, Bldg 1, Ste 200, Suite 200, Austin, TX 78730

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