Jeffery Wade Sessom

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5240 Issued in OK

Practice address

4415 S Harvard Ave Ste 102
Tulsa, OK 74135-2616

Phone

(918) 742-2096

Fax

(918) 749-2611

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wade Sessom, DDS, PC

  • Dental Clinic/Center
  • Tulsa, OK
  • NPI 1497414908
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1295749976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352616",
            "telephone_number": "918-742-2096",
            "fax_number": "918-749-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352616",
            "telephone_number": "918-742-2096",
            "fax_number": "918-749-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESSOM",
        "first_name": "JEFFERY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elka Serrano, MD
• John F Serrot III, L.C.S.W.
• Sertoma Handicapped Opportunity Program
• Naomi Serwanga
• Carrie D Sessom, D.D.S.
• Lilyana Sestak
• Suresha Rommni Sethi
• Lanny Setiawan
• Kenneth R Setter, M. D.
• Megan Setter

• 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 Dec 12, 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.