Safari Smiles, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6092 Issued in OK

Legal business name

SAFARI SMILES, PLLC

Practice address

2359 Nowata PL
Bartlesville, OK 74006-4745

Phone

(918) 331-0016

NPI assigned

Jun 16, 2011

Last updated

Oct 18, 2022By 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

Jon M Lindblom, D.D.S.NPI 1093940207

Title

Owner

Phone

(918) 331-0016

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Jon Matthew Lindblom, D.D.S.

  • Pediatric Dentistry
  • Bartlesville, OK
  • NPI 1093940207
  NPD Authorized official
• Scott S West, D.D.S

  • Pediatric Dentistry
  • Bartlesville, OK
  • NPI 1912077876
  NPD

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1730474800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 NOWATA PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064745",
            "telephone_number": "918-331-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 NOWATA PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064745",
            "telephone_number": "918-331-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFARI SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "LINDBLOM",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-331-0016",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "6092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200259000A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Rupprecht, BS
• Russell Wellness Clinic
• Ashleigh Suznne Russell
• Joshua Lennon Russell, PHARMD
• Tracy Owen Russell, D.C.
• Morris Salge, MA
• Samaritan Counseling & Growth Center, Inc.
• Amber Dawn Sanders
• Patty Kay Sanders, PTA
• Warren Newton Sapp, DMIN

• Pediatric Dentistry in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Pediatric Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.