Whalio Doctors

NPI 1316226087

Matthew Raymond Radant, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Tulsa, OK

Practice location

Address
6161 S Yale Ave, Tulsa, OK 74136-1902
Phone
(918) 494-1805
Fax
(918) 494-4573
Mailing address
6600 S Yale Ave STE 1400, Tulsa, OK 74136-3331

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 35081 (OK)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 7455 (OK)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 35081 (OK)

Registry record

NPI
1316226087
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Aug 2011
Record last updated
11 Dec 2024

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.