Dyer Palm Leaf Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DYER PALM LEAF DENTAL LLC

Practice address

4715 E 91St St Ste 110
Tulsa, OK 74137-2847

Phone

(833) 923-4468

NPI assigned

Jun 12, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shayla Moore

Title

Human Resources

Phone

(402) 505-6843

Specialties & licenses 1

Addresses

Tax ID family

Dyer Palm Leaf Dental LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dyer Palm Leaf Dental LLC

  • Dentist
  • Jacksonville, FL
  • NPI 1467394395
  NPD tax ID
• Dyer Palm Leaf Dental LLC

  • Dentist
  • Albuquerque, NM
  • NPI 1639012636
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1073447041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 E 91ST ST STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 E 91ST ST STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372847",
            "telephone_number": "833-923-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYER PALM LEAF DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "402-505-6843"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Dye
• Christine Dye
• Kaitlyn Dye
• Lorraine Dye
• Sarah Margaret Dye
• David Alan Dyer, RPH
• Hilda Lavelle Dyer
• Jamaal A. Dyer, BHRS
• Jessica Jeter Dyer, BS
• Kelli Herlihy Dyer, D.O.

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.