Active NPI
Lawrence Angelo Cuzalina, M.D., D.D.S
- Oral and Maxillofacial Surgery (Dentist)
- Tulsa, OK
National Provider Identifier
1376625830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 20503
- Practice address
- 7322 E 91 St
Tulsa, OK 74133-6016 - Phone
- (918) 392-0880
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 20503 | OK | Primary |
Addresses
Primary practice location
7322 E 91 St
Tulsa, OK 74133-6016
Mailing address
7322 E 91 St
Tulsa, OK 74133-6016
Phone (918) 392-0880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20503 | OK | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376625830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7322 E 91 ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741336016",
"telephone_number": "918-392-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7322 E 91 ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741336016",
"telephone_number": "918-392-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUZALINA",
"first_name": "LAWRENCE",
"middle_name": "ANGELO",
"credential": "M.D., D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OK",
"license": "20503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.