Active NPI
A Great Place to Smile
- General Practice Dentistry
- Tulsa, OK
National Provider Identifier
1770824781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4774
- Legal business name
- A GREAT PLACE TO SMILE
- Practice address
- 5510 S Memorial Dr
Tulsa, OK 74145-9038 - Phone
- (918) 663-9990
- Fax
- (918) 622-9991
- NPI assigned
- Mar 15, 2013
- Last updated
- Mar 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc L Susman, D.D.S.
- Title
- Owner / Doctor
- Phone
- (918) 683-8844
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4774 | OK | Primary |
Addresses
Primary practice location
5510 S Memorial Dr
Tulsa, OK 74145-9038
Mailing address
5510 S Memorial Dr
Tulsa, OK 74145-9038
Phone (918) 663-9990
National Provider Directory
National Provider DirectoryLocations
5510 S Memorial Dr
Tulsa, OK 74145
Phone (918) 663-9990
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Muskogee, OK
- NPI 1346238300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363305600000",
"number": "1770824781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741459038",
"telephone_number": "918-663-9990",
"fax_number": "918-622-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741459038",
"telephone_number": "918-663-9990",
"fax_number": "918-622-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A GREAT PLACE TO SMILE",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-15",
"last_updated": "2013-03-15",
"status": "A",
"authorized_official_last_name": "SUSMAN",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER / DOCTOR",
"authorized_official_telephone_number": "918-683-8844",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.