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

Southard Family Dental, LLC

Organization Dentist · NPI 1366103244

Southard Family Dental, LLC is a Dentist in Tulsa, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022
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

6333 S Memorial Dr
Tulsa, OK 74133-1948
Phone: (918) 294-1144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1366103244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loren Israelsen — Ceo · (275) 773-0432
NPI enumeratedJanuary 4, 2022
Last updated in NPPESSeptember 6, 2023
Certification dateJanuary 4, 2022
Mailing address6333 S Memorial Dr, Tulsa, OK 74133-1948

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