Tristanne Marie Spottswood, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5910 Issued in OK

Practice address

5700 Arnold St
72 MDG/DS
Tinker AFB, OK 73145-8105

Phone

(405) 736-2000

Fax

(405) 736-2072

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1245255058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13417 INVERNESS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207312",
            "telephone_number": "910-494-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 ARNOLD ST",
            "address_2": "72 MDG/DS",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "731458105",
            "telephone_number": "405-736-2000",
            "fax_number": "405-736-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOTTSWOOD",
        "first_name": "TRISTANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5910",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Beatriz Simons, MSW
• Christopher Smith
• Jamie L Smith, DDS
• Kendra Kay Davis Smith, RDH
• Stuart Scott Smith, IDMT
• Robin Elaine Squellati, WHNP
• Sunland Optical Co., Inc.
• Seth Anthony Terrana, SURFACE FORCE IDC
• The Janz Corporation (Janz Medical Supply)
• Emily M Thompson, O.D.

• General Practice Dentistry in Tinker AFB, OK
• Providers in Tinker AFB, 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 Aug 11, 2021; 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.