NPIMap

Organization Active NPI

TNT Dental Services PLLC

  • General Practice Dentistry
  • Bartlesville, OK
National Provider Identifier
1447475348
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TNT DENTAL SERVICES PLLC
Practice address
5401 Taylor Drive
Bartlesville, OK 74006
Phone
(918) 333-4500
Fax
(918) 333-4509
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shane Joel Tewis, DDS
Title
Member of PLLC
Phone
(918) 289-7086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5401 Taylor Drive
Bartlesville, OK 74006

Mailing address

5401 Taylor Drive
Bartlesville, OK 74006
Phone (918) 333-4500

Other names 1

  • Willow Hill Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TNT Dental Services PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5401 Taylor Dr
Bartlesville, OK 74006
Phone (918) 333-4500

Practitioners & affiliated clinicians

Practitioners 7

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447475348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 TAYLOR DRIVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "918-333-4500",
            "fax_number": "918-333-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 TAYLOR DRIVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "918-333-4500",
            "fax_number": "918-333-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNT DENTAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEWIS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "MEMBER OF PLLC",
        "authorized_official_telephone_number": "918-289-7086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Hill Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.