NPI 1669648721

Brett B. Dieterlen D.D.S., P.C.

Organisation Preferred Provider Organization Tulsa, OK

Practice location

Address: 3015 E 91st St, Tulsa, OK 74137-3324
Phone: (918) 299-2400

Authorised official

Name: Brett B. Dieterlen
Title: Owner/Dentist
Phone: (918) 299-2400

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5167 (OK)

Other Preferred Provider Organization providers in Oklahoma →

Registry record

NPI: 1669648721
Entity type: Organization
NPI issued: 7 May 2008
Record last updated: 7 May 2008

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.