Dental Professionals of Oklahoma, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL PROFESSIONALS OF OKLAHOMA, PC

Practice address

9840 E 81St St Ste 101
Tulsa, OK 74133-4585

Phone

(918) 254-8686

NPI assigned

Apr 3, 2017

Organization subpart

Yes

Parent organization

DENTAL PROFESSIONALS OF OKLAHOMA, PCAs reported in NPPES

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

Authorized official

Name

Heartland Dental

Title

Credentialing Coordinator

Phone

(217) 540-2100

Specialties & licenses 1

Addresses

Other names 1

• Glisten Dental Care of Tulsa Doing business as

Part of

Dental Health Associates of Texas PC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Blaine Mongrain Jr., DMD

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1598731655
  NPD (past)
• Angie Kay Nauman, DDS

  • Dentist
  • Tulsa, OK
  • NPI 1356402192
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1194257543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 E 81ST ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334585",
            "telephone_number": "918-254-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 E 81ST ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334585",
            "telephone_number": "918-254-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF OKLAHOMA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF OKLAHOMA, PC",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "DENTAL",
        "authorized_official_first_name": "HEARTLAND",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glisten Dental Care of Tulsa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Depot of I-44 & Harvard, PLLC
• Dental Depot of Tulsa
• Dental Depot Southern Hills 71St & Jackson
• Dental Health Associates of Texas, PC.
• Dental Masterpieces PLLC
• Carole M Dentino, MD
• Dentistry by Design of Tulsa, Inc.
• Dentistryone of Oklahoma Pooja Santwani PC
• Brooke Javon Denton, CSFA
• Jason Wyatt Denton

• 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 Mar 30, 2023; 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.