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Contact Information

A GREAT PLACE TO SMILE
5510 S MEMORIAL DR
TULSA, OK74145-9038
 Phone: 918-663-9990
 Fax: 918-622-9991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A GREAT PLACE TO SMILE

NPI Number 1770824781
LBN Legal business name A GREAT PLACE TO SMILE
Authorized official MARC SUSMAN - (OWNER / DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2013
Last updated 03/15/2013 - About 13 years ago
Identifiers
OK License # 4774
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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