Shortline Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

P-35 Issued in OK

Legal business name

SHORTLINE DENTAL PLLC

Practice address

9908 E 21St St
Tulsa, OK 74129-1620

Phone

(918) 384-0099

Fax

(918) 384-0033

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Lundy Riggs, DDS

Title

President

Phone

(918) 384-0099

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.

• David Lee Rorabaugh, DDS

  • Dentist
  • Tulsa, OK
  • NPI 1649686288
  NPD (past)
• Daniel A Warlick, DDS

  • Dentist
  • Tulsa, OK
  • NPI 1376734327
  NPD (past)
• Celeste Chantal Riggs, D.D.S.

  • Dentist
  • Thornton, CO
  • NPI 1558552307
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1871612713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9908 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291620",
            "telephone_number": "918-384-0099",
            "fax_number": "918-384-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291620",
            "telephone_number": "918-384-0099",
            "fax_number": "918-384-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORTLINE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LUNDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-384-0099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "P-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Drake Short
• Robin Gail Short, MSN APRN, FNP-BC
• Sarah Short
• Stephanie N Short
• Wendy Diane Short
• Brandon Shortridge
• Shelley Dawn Shoun, M.D.
• Logan Shouse, DO
• Anjuli Shrestha, PA-C
• Sagun Shrestha, MD

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, 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 Nov 29, 2007; 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.