Active NPI
Dan Eldon Patterson, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Tulsa, OK
National Provider Identifier
1053306142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3668
- Practice address
- 9118 S Toledo Ave
Tulsa, OK 74137-2700 - Phone
- (918) 495-1800
- Fax
- (918) 495-1890
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3668 | OK | Primary |
Addresses
Primary practice location
9118 S Toledo Ave
Tulsa, OK 74137-2700
Mailing address
3606 W Vista LN
Stillwater, OK 74074-7602
Phone (405) 624-8864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 681024 | Other | OK | UNITED CONCORDIA ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3668 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashton Creek Oral Surgery Suites, P.L.L.C. | Past | Accepting new patients | |
| Central Oklahoma Oral & Maxillofacial Surgery Associates of Tulsa, PC | Past | Accepting new patients | |
| Central Oklahoma Oral & Maxillofacial Surgery Associates | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Tulsa, OK
- NPI 1710138219
-
- Oral and Maxillofacial Surgery (Dentist)
- Stillwater, OK
- NPI 1467627364
-
- Oral and Maxillofacial Surgery Clinic/Center
- Tulsa, OK
- NPI 1902607476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053306142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 W VISTA LN",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740747602",
"telephone_number": "405-624-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9118 S TOLEDO AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741372700",
"telephone_number": "918-495-1800",
"fax_number": "918-495-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "DAN",
"middle_name": "ELDON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OK",
"license": "3668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA ID #",
"identifier": "681024",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.