DR. GREGORY T. TULL (NPI# 1194826966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194826966 |
| Entity Type | Individual |
| Full Name | DR. GREGORY T. TULL |
| Credential | D.M.D |
| Practice Address |
5509 Inverary Dr Edmond OK 73025-2722 |
| Mailing Address |
1201 N Stonewall Ave Ste 230 Oklahoma City OK 73117-1214 |
| Practice Telephone | 5614004142 |
| Practice Fax Number | 4052711134 |
| Mailing Telephone | 4052714441 |
| Mailing Fax Number | 4052711134 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9958 | NC | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2005007419 | MO | Dental Providers |
| Street Address |
5509 INVERARY DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73025-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252304 | Max Anna Hanna | Counselor | 2600 W. Coffee Creek Rd, Edmond, OK 73025 | 2020-07-07 |
| 1023403375 | Regina Kwendi | Counselor | 23802 Tuscany Plaza, Edmond, OK 73025 | 2015-04-03 |
| 1396165791 | Calandra Antonelli | Case Manager/Care Coordinator | 905 Baffy Court, Edmond, OK 73025 | 2014-04-24 |
| 1982732400 | Kim Mclanahan | Radiology | 5105 Circle Glen, Edmomd, OK 73025 | 2007-02-28 |
| 1922030758 | Leann Leach | Social Worker | 2660 Bobwhite Trail, Edmond, OK 73025 | 2006-07-06 |
| 1023012895 | Paul E Massad | Radiology | 5705 Country Club Ter, Edmond, OK 73025 | 2005-06-09 |
| 1760692594 | Angela Marie Danel | Occupational Therapist | 4150 W Evergreen Dr, Edmond, OK 73025-1112 | 2007-05-23 |
| 1891064572 | Oklahoma Therapy Services LLC | Occupational Therapist | 4150 W Evergreen Dr, Edmond, OK 73025-1112 | 2011-12-24 |
| 1477951499 | Rani Mcguar | Physical Therapist | 10930 Gracie Dr, Edmond, OK 73025-1165 | 2014-12-08 |
| 1104195650 | Clifton Forest Cypert | Counselor | 4575 Vista Valley Ln, Edmond, OK 73025-1189 | 2011-12-28 |
| Find all providers in zip 73025 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891981635 | C. Ken Templeton, P.C. | Dentist | 125 East 3rd St., Suite A, Edmond, OK 73034 | 2007-09-14 |
| 1073622189 | Christopher Kenny Templeton Iv | Dentist | 125 E 3rd St Ste A, Edmond, OK 73034-3822 | 2006-08-30 |
| 1407863616 | Lawrence Scott Holmgren | Dentist | 1004 Medical Park Blvd, Edmond, OK 73013 | 2006-08-01 |
| 1194716803 | Zeneida G Vasquez | Dentist | 1218 E 9th St, Suite 7, Edmond, OK 73034-5796 | 2005-11-02 |
| 1730672510 | Jeremy Edwards Dds Pllc | Dentist | 1004 Medical Park Blvd, Edmond, OK 73013-3025 | 2018-06-07 |
| 1598944290 | Edmond Oral and Maxillofacial Surgery | Dentist | 1004 Medical Park Blvd, Edmond, OK 73013-3025 | 2007-10-30 |
| 1881706471 | Robert Martin Lamb | Dentist | 1004 Medical Park Blvd, Edmond, OK 73013 | 2006-08-31 |
| 1932190469 | Sam P Jones Iv | Dentist | 1218 E 9th St, Suite 7, Edmond, OK 73034-5796 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801303888 | Wisdom Tooth Center, Pllc | Dentist | 2745 S I 35 Service Rd, Moore, OK 73160-2715 | 2017-12-29 |
| 1033560966 | Medical Consultant Services | Dentist | 3309 W Princeton St, Broken Arrow, OK 74012-9587 | 2016-06-22 |
| 1487019071 | Stonewood Hills Oral Maxillofacial Surgery, Inc. | Dentist | 425 Stone Wood Dr, Broken Arrow, OK 74012-1026 | 2015-12-23 |
| 1477927085 | Justin Pisano | Dentist | 429 Nw 11th St, Apt 6, Oklahoma City, OK 73103-3927 | 2015-11-19 |
| 1558776989 | Daniel Szalay | Dentist | 1201 N Stonewall Ave Ste 206, Oklahoma City, OK 73117-1214 | 2014-06-24 |
| 1558771170 | Yukon Maxillo-facial Surgery Center | Dentist | 404 S Mustang Rd, Yukon, OK 73099-6754 | 2014-05-05 |
| 1649690025 | Andrew Mcgarry | Dentist | 10900 Hefner Pointe Dr Ste 204, Oklahoma City, OK 73120 | 2014-04-23 |
| 1740572601 | Lauren Lunday | Dentist | 3617 W Gore Blvd Ste B, Lawton, OK 73505-6373 | 2011-05-11 |
| 1265735724 | Michael J. Gliddon Dba Live Oak Oral Surgery | Dentist | 1415 Nw 33rd St, Lawton, OK 73505-3806 | 2010-12-06 |
| 1023329901 | Armando Retana | Dentist | 7322 E 91st St, Tulsa, OK 74133-6016 | 2010-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.