Pediatric Dental Group, Llc is a Pediatric Dental Clinic in Tulsa, Oklahoma. It is located at 1421 E 13th St, Tulsa, OK and its contact number is 918-585-3744. The authorized person for Pediatric Dental Group, Llc is Dr. Charles R Keithline Iii
who is Managing Member of the clinic and their contact number is 918-585-3744. Other organizations associated with this clinic are Ob Dental, Llc, Keithline Digital Imaging Llc, Pediatric Dental Group, Llc, The primary license number for Pediatric Dental Group, Llc is 784 (Pediatric Dentistry) in Oklahoma. Pediatric Dental Group, Llc 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:
Pediatric Dental Group, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pediatric Dental Group, Llc
Specialization:
Pediatric Dentistry
Clinic Address:
1421 E 13th St, Tulsa, Oklahoma, 74120-5207
Phone:
918-585-3744
Fax:
918-585-3774
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:
Dr. Charles R Keithline Iii
Position:
Managing Member
Contact Number:
918-585-3744
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 Pediatric Dental Group, Llc clinic are as mentioned below.
NPI Number:
1609018548
NPI Enumeration Date:
24 Mar, 2009
NPI Last Update On:
24 Mar, 2009
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Ob Dental, Llc
General Practice Dentistry
1366775140
Keithline Digital Imaging Llc
Oral and Maxillofacial Radiology
1467680231
Pediatric Dental Group, Llc
Pediatric Dentistry
1609018548
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dental Group, Llc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
784
Oklahoma
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
100635530C
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:
Pediatric Dental Group, Llc 1421 E 13th St, Tulsa, Oklahoma
Zip:
74120-5207
Phone Number:
918-585-3744
Fax Number:
918-585-3774
Patients can reach Pediatric Dental Group, Llc at 1421 E 13th St, Tulsa, Oklahoma or can call to book an appointment on 918-585-3744. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.