Tulsa Dental Implant Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

3173 Issued in OK

Legal business name

TULSA DENTAL IMPLANT CENTER

Practice address

5151 E 51St St
Suite 102
Tulsa, OK 74135-7457

Phone

(918) 627-3900

Fax

(918) 627-7077

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Judy Madamba, DDS

Title

Dentist

Phone

(918) 627-3900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1326273996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E 51ST ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357450",
            "telephone_number": "918-627-3900",
            "fax_number": "918-627-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E 51ST ST",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357457",
            "telephone_number": "918-627-3900",
            "fax_number": "918-627-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "MADAMBA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "JUDY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-627-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OK",
            "license": "3173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tulsa Cosmetic Dental Center
• Tulsa County Juvenile Justice Trust Authority
• Tulsa CT LLC (CT of Tulsa)
• Tulsa Day Center for the Homeless Inc
• Tulsa Dental Group, Inc
• Tulsa Dental Implants and Periodontics (Transcend Dental Implants and Periodontics)
• Tulsa Dental Management, Inc.
• Tulsa Dermatology Clinic Inc
• Tulsa Diagnostic Imaging
• Tulsa Diagnostics PC

• Public Health or Welfare Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Public Health or Welfare Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.