Organization Active NPI

Atlanta Dental PLLC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1992417273
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ATLANTA DENTAL PLLC
Practice address
2106 S Atlanta PL
Tulsa, OK 74114-1709
Phone
(918) 743-7444
NPI assigned
Dec 19, 2022
Last updated
Dec 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Brandi Ann Williams
Title
VP of Growth
Phone
(405) 250-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2106 S Atlanta PL
Tulsa, OK 74114-1709

Mailing address

2106 S Atlanta PL
Tulsa, OK 74114-1709
Phone (918) 743-7444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1992417273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 S ATLANTA PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141709",
            "telephone_number": "918-743-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 S ATLANTA PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141709",
            "telephone_number": "918-743-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VP OF GROWTH",
        "authorized_official_telephone_number": "405-250-2255"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 Dec 19, 2022; 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.