NPIMap

Organization Active NPI

Sweet Tooth Pediatric Dentistry

  • Pediatric Dentistry
  • Yukon, OK
National Provider Identifier
1396568465
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SWEET TOOTH PEDIATRIC DENTISTRY
Practice address
2725 S Mustang Rd Ste 100
Yukon, OK 73099-4769
Phone
(405) 254-7372
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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

Authorized official

Name
Dr. Tiana Osbourne, DDSNPI 1598157141
Title
Owner/ Ceo
Phone
(845) 527-8184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2725 S Mustang Rd Ste 100
Yukon, OK 73099-4769

Mailing address

2725 S Mustang Rd Ste 100
Yukon, OK 73099-4769
Phone (405) 254-7372

National Provider Directory

National Provider Directory

Locations

2725 S Mustang Rd
Ste 100
Yukon, OK 73099
Phone (405) 254-7372

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769299200000",
    "number": "1396568465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S MUSTANG RD STE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994769",
            "telephone_number": "405-254-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S MUSTANG RD STE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994769",
            "telephone_number": "405-254-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A",
        "authorized_official_last_name": "OSBOURNE",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "845-527-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2026; 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.