Organization Active NPI

Midtown Dental Studio PLLC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1164315032
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIDTOWN DENTAL STUDIO PLLC
Practice address
3150 E 41St St Ste 141
Tulsa, OK 74105-3756
Phone
(918) 731-2885
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Brandi Ann Williams
Title
Chief Growth Officer
Phone
(405) 250-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3150 E 41St St Ste 141
Tulsa, OK 74105-3756

Mailing address

2500 S Broadway Ste 350
Edmond, OK 73013-4040
Phone (405) 250-2255

National Provider Directory

National Provider Directory

Locations

3150 E 41st St
Ste 141
Tulsa, OK 74105
Phone (918) 731-2885

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1164315032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S BROADWAY STE 350",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134040",
            "telephone_number": "405-250-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E 41ST ST STE 141",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053756",
            "telephone_number": "918-731-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF GROWTH OFFICER",
        "authorized_official_telephone_number": "405-250-2255"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 30, 2025; 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.