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Contact Information

MATTHEW R RADANT, MD, DDS
6161 S YALE AVE
TULSA, OK74136-1902
 Phone: 918-494-1805
 Fax: 918-494-4573
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MATTHEW R RADANT · (Male)

NPI Number 1316226087
Status Active
Credentials MD, DDS
Entity Individual
Enumeration date 08/11/2011
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # 35081
  • OK License # 7455
  • OK Medicaid 200981500A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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