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

Trevor Raczkowski

Individual provider Dentist · NPI 1972342574

Trevor Raczkowski is a Dentist in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

4770 S Harvard Ave
Tulsa, OK 74135-3024
Phone: (918) 215-2858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7877 (OK)

Record details

NPI number1972342574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address3100 Nw 61st Ter, Oklahoma City, OK 73112-4219

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