Wesley Neill Black DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5573 Issued in OK

Legal business name

WESLEY NEILL BLACK DDS PC

Practice address

6112E 61St Street
Tulsa, OK 74136

Phone

(918) 745-0500

Fax

(918) 712-9913

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Neill Black, DDS

Title

Owner/Dentist

Phone

(918) 745-0500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1972761427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 E 61ST STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-745-0500",
            "fax_number": "918-712-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112E 61ST STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-745-0500",
            "fax_number": "918-712-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY NEILL BLACK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "NEILL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "918-745-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Wertzberger, PA-C
• Caroline Wescott, APRN, CNP
• Melody Wescott
• Wesley a. Rainwater, O.D., P.C.
• Wesley K Maples MD PC
• Tonya Jo Wesley
• Nancy Wespetal, MD
• Cecilia Wessinger
• James Byran Wesson, ACNS-BC
• Tracey Wesson

• 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 May 10, 2018; 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.