NPI 1427322361

Blue and Red Dental LLC

Organisation Preferred Provider Organization Tulsa, OK

Practice location

Address: 2840 E 101st St, Tulsa, OK 74137-5601
Phone: (918) 518-6305
Fax: (918) 518-6327

Authorised official

Name: Brian Dale Patten
Title: Dentist
Phone: (918) 518-6305

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5990 (OK)

Other Preferred Provider Organization providers in Oklahoma →

Registry record

NPI: 1427322361
Entity type: Organization
NPI issued: 23 Feb 2012
Record last updated: 23 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.