Pediatric Dental Group, LLC
Pediatric Dental Group, LLC is a Pediatric Dentistry in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.
- Licensed in
- OK
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1421 E 13th StTulsa, OK 74120-5207
Phone: (918) 585-3744
Fax: (918) 585-3774
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 784 (OK) |
|---|
Record details
| NPI number | 1609018548 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Keithline — Managing Member · (918) 585-3744 |
| NPI enumerated | March 24, 2009 |
| Last updated in NPPES | March 24, 2009 |
| Mailing address | 1421 E 13th St, Tulsa, OK 74120-5207 |
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Pediatric Dental Group II, LLC
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Dr. Ryan Scott Roberts, DDS, MS
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