Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Dentistry of Tulsa PC

Organization Pediatric Dentistry · NPI 1457518961

Pediatric Dentistry of Tulsa PC provides Pediatric Dentistry in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5602 S Memorial Dr
Tulsa, OK 74145-9016 Not confirmed with CMS for 18 years — call before visiting
Phone: (918) 664-9797
Fax: (918) 664-1666
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 3620 (OK)

Record details

NPI number1457518961
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Winder — President · (918) 664-9797
NPI enumeratedMay 21, 2008
Last updated in NPPESMay 21, 2008
Mailing address5602 S Memorial Dr, Tulsa, OK 74145-9016

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