Kesava PLLC Dba the Tooth Experience

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KESAVA PLLC DBA THE TOOTH EXPERIENCE

Doing business as

The Tooth Experience

Practice address

1713 W 33Rd St Ste B
Edmond, OK 73013-3840

Phone

(405) 348-9911

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Neeral Patel, DDSNPI 1538736301

Title

Manager

Phone

(405) 416-0784

Specialties & licenses 1

Addresses

Other names 1

• The Tooth Experience Doing business as

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.

• Neeral Sanjay Patel, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1538736301
  NPD Authorized official

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1861251753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W 33RD ST STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W 33RD ST STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133840",
            "telephone_number": "405-348-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESAVA PLLC DBA THE TOOTH EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEERAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-416-0784",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tooth Experience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan H Kerlin, LICENSED PROFESSIONA
• Rodney Alen Kernes, D.O.
• Ryan Kerr
• Angela B Kersh, BSN, RN
• Kes PLLC
• Angel Kesner
• Noemi Paulina Kesner
• Rosa Maria Kesner, M.A., LPC
• Susan Lynn Kester, MSFLE
• Kristin Cole Ketch, COTA/L

• General Practice Dentistry in Edmond, OK
• Providers in Edmond, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.