The Tooth Doctor, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

5639 Issued in OK

Legal business name

THE TOOTH DOCTOR, PLLC

Practice address

5524 NW 39TH St
Warr Acres, OK 73122-2203

Phone

(405) 495-5225

Fax

(405) 495-1994

NPI assigned

Jan 9, 2009

Last updated

Jan 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Franklin Kurt Clark, DDS

Title

General Dentist-Owner

Phone

(405) 495-5225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rick Croasdale, D.D.S.

  • Dentist
  • Warr Acres, OK
  • NPI 1871625871
  NPD (past)

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1497992663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 NW 39TH EXPRESSWAY",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "73122",
            "telephone_number": "405-495-5225",
            "fax_number": "405-495-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 NW 39TH ST",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731222203",
            "telephone_number": "405-495-5225",
            "fax_number": "405-495-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOOTH DOCTOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "GENERAL DENTIST-OWNER",
        "authorized_official_telephone_number": "405-495-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caleb Bradley Taylor, PHARMD
• Jim O Taylor, D.D.S.
• Stephen Marc Taylor, D.D.S.
• Craig A Thompson, PHARM D
• Phi Tran
• Meghan Murphy Van Camp, RDN, LD, CDE
• Martin Vernon
• Vital Behavirol Health

• Dentist in Warr Acres, OK
• Providers in Warr Acres, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.