Aqua Dental is a Pediatric Dental Clinic in Tulsa, Oklahoma. It is located at 10507 E 91st Street Suite 410, Tulsa, OK and its contact number is 918-455-7700. The authorized person for Aqua Dental is Samuel A Owens
who is Owner of the clinic and their contact number is 918-455-7700. Aqua Dental Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Aqua Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Aqua Dental
Specialization:
Pediatric Dentistry
Clinic Address:
10507 E 91st Street Suite 410, Tulsa, Oklahoma, 74133
Phone:
918-455-7700
Fax:
918-455-5541
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Samuel A Owens
Position:
Owner
Contact Number:
918-455-7700
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Aqua Dental clinic are as mentioned below.
NPI Number:
1548472137
NPI Enumeration Date:
04 May, 2007
NPI Last Update On:
21 May, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Aqua Dental are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200320440A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Aqua Dental 10507 E 91st Street Suite 410, Tulsa, Oklahoma
Zip:
74133
Phone Number:
918-455-7700
Fax Number:
918-455-5541
Patients can reach Aqua Dental at 10507 E 91st Street Suite 410, Tulsa, Oklahoma or can call to book an appointment on 918-455-7700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.