Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jonathan Chu-Ming Soetandio, DMD

Individual provider Dentist · NPI 1093329260

Dr. Jonathan Chu-Ming Soetandio, DMD is a Dentist in Tulsa, Oklahoma. Works from 2 locations. Licensed in Oklahoma and Texas.

Licensed in
OK, TX
In the registry since
2020
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

5510 E 41st St Ste C
Tulsa, OK 74135-6009
Phone: (918) 641-4635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 S Loop 336 W, Conroe, TX 77304-3305 — (936) 270-1294

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 37917 (TX)
Dentist Taxonomy 122300000X · Licence 7387 (OK)

Record details

NPI number1093329260
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

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