Roman M Lobodiak DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4367 Issued in OK

Legal business name

ROMAN M LOBODIAK DDS PC

Practice address

3232 E 31St St
Tulsa, OK 74105-2442

Phone

(918) 743-1558

Fax

(918) 742-2543

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roman M Lobodiak, DDS

Title

Owner

Phone

(918) 743-1558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1629230685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052442",
            "telephone_number": "918-743-1558",
            "fax_number": "918-742-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052442",
            "telephone_number": "918-743-1558",
            "fax_number": "918-742-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN M LOBODIAK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "LOBODIAK",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-743-1558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "4367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Leigh Rollinger
• Lea V. Rollings, D.O.
• Jared Rollins
• Matthew Bryan Rollins
• Jon Eric Rolston, C.R.N.A.
• Christopher Roman, MD
• Divina Roman, M.D.
• Dominic Roman
• Emmanuel Roman, M.D.
• Nancy Romano Flores

• Dental Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.