Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Courtney Mickle-Dittrich, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376230698

Dr. Courtney Mickle-Dittrich, DMD is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Tulsa, OK

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC 28422-1001 — (910) 253-9000

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7904 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376230698
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

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