Southern Pointe Dental and Implants LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHERN POINTE DENTAL AND IMPLANTS LLC

Practice address

6139 E 91St St
Tulsa, OK 74137-3104

Phone

(918) 492-8577

NPI assigned

Aug 19, 2021

Last updated

Feb 5, 2024By 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

Mr. Brad Nelson

Title

Owner

Phone

(405) 260-6080

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Cooper A Lynch, DMD

  • General Practice Dentistry
  • Tulsa, OK
  • NPI 1194579607
  NPD
• Douglas S Pittman, DDS

  • General Practice Dentistry
  • Tulsa, OK
  • NPI 1265583603
  NPD (past)
• Natalie Nicole Reed, DMD

  • Dentist
  • Tulsa, OK
  • NPI 1770267817
  NPD (past)

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1629744685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6139 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373104",
            "telephone_number": "918-492-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6139 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373104",
            "telephone_number": "918-492-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN POINTE DENTAL AND IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-260-6080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Hills Rehab Center, LLC (Southern Hills Rehabilitation Center)
• Southern Hills Retirement Center, LLC (Southern Hills Assisted Living)
• Southern Spine Partners LLC
• Southern Spine Services, LLC
• Southerncare, Inc (Southerncare Tulsa)
• Southside Dermatology PLLC
• Southwest Neurology Specialist LLC

• 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 Feb 5, 2024; 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.