Christian Andrus, DMD
Individual provider Active NPI General Practice Dentistry · Glenpool, OK
NPI 1972953149 · NPPES record last updated Sep 8, 2024
Key facts
- NPI
- 1972953149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6864 (OK)
- Practice address
- 12190 S Waco Ave Ste B
Glenpool, OK 74033-5661 - Phone
- (951) 533-0163
- NPI assigned
- Jun 17, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa City Dental TCD, PLLC | General Practice | Current |
Accepting new patients |
| Okc Dental Health Associates, P.C. | General Practice | Past | Accepting new patients |
Locations
5639 E 41st St
Tulsa, OK 74135
Phone (918) 622-3353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6864 | OK | Yes |
Addresses
Primary practice location
12190 S Waco Ave Ste B
Glenpool, OK 74033-5661
Mailing address
14001 S Joplin Ave
Bixby, OK 74008-4155
Phone (951) 533-0163
Other practice location 1
5639 E 41st St
Tulsa, OK 74135-6010
Phone (918) 622-3353
Other providers in Glenpool, OK
- Ashley Al-Bezergan
- Patricia Jean Alexander
- Align Sport and Spine
- Aaron Allen
- Jacob Allred
- Dina Georgy Azadi
- Back2Health of Tulsa P.C.
- Bedside Manner LLC
- Rebecca Bell
- Leslie Bertram
All providers in Glenpool, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.