Spring Dental East Tulsa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPRING DENTAL EAST TULSA

Practice address

11720 E 21St St
Tulsa, OK 74129-1833

Phone

(918) 437-9111

Fax

(918) 825-6902

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Renee McBay

Title

Credentialing Specialist

Phone

(918) 999-0996

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Lena Marian Quiroga, DMD

  • General Practice Dentistry
  • Tulsa, OK
  • NPI 1245916527
  NPD (past)
• Brett Dean Sommerville, DMD

  • General Practice Dentistry
  • West Jordan, UT
  • NPI 1356836589
  NPD (past)
• Jacob Wood, DMD

  • General Practice Dentistry
  • Kalispell, MT
  • NPI 1205451754
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1245777408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-235-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291833",
            "telephone_number": "918-437-9111",
            "fax_number": "918-825-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING DENTAL EAST TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "MCBAY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "918-999-0996"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vincent Spottedhorsechief, PRSS
• Charles Spradlin, APRN-CNP
• D. Michael Spradlin, D.D.S.
• Skye Spradlin
• Lori Diane Sprague, DC
• Spring Dental PLLC
• Spring Dental Specialty, PLLC
• Spring Dental-Peoria, PLLC
• Spring Orthodontics Tulsa
• Lexus Tate Spring, CRNA

• 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 14, 2018; 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.