MLK DENTISTRY INC (NPI# 1356351662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356351662 |
| Entity Type | Organization |
| Organization Name | MLK DENTISTRY INC |
| Other Organization Name | MORROW AND LAI DDS PC INC |
| Practice Address |
2930 S Pittsburg Ave Tulsa OK 74114 |
| Practice Telephone | 9187429810 |
| Practice Fax Number | 9187428301 |
| Mailing Telephone | 9187429810 |
| Mailing Fax Number | 9187428301 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | MARK MORROW (OWNER PRESIDENT) |
| Authorized Official Telephone | 9187429810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4481 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100101650C | 05 |
| Other Name | Type Code |
|---|---|
| Morrow and Lai DDS PC Inc | Doing Business As Name - Organization |
| Street Address |
2930 S PITTSBURG AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629297197 | Mark Morrow | Dentist | 2930 S Pittsburg Ave, Tulsa, OK 74114 | 2007-04-24 |
| 1184843633 | April Ann Lai | Dentist | 2930 S Pittsburg Ave, Tulsa, OK 74114 | 2007-04-24 |
| 1538273891 | Kerry Kerr Kitterman | Dentist | 2930 S Pittsburg Ave, Tulsa, OK 74114 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760864235 | Pediatric Dental Group II, LLC | Dentist | 7715 E 91st St Ste A, Tulsa, OK 74133-6060 | 2015-06-22 |
| 1548472137 | James F. Owens Dds Ms PC | Dentist | 10507 E 91st Street Suite 410, Tulsa, OK 74133 | 2007-05-04 |
| 1235283524 | Thomas Harold Gilbert Sr. | Dentist | 7116 S Mingo Rd, # 112, Tulsa, OK 74133 | 2007-01-23 |
| 1932269933 | Charles R. Keithline | Dentist | 1421 E 13th St, Tulsa, OK 74120-5207 | 2006-12-11 |
| 1750326690 | Sarah M Fox | Dentist | 6585 S Yale Ave Ste 510, Tulsa, OK 74136-8384 | 2006-06-17 |
| 1598742751 | James George Steyer Jr. | Dentist | 10127 S Yale Ave, Tulsa, OK 74137-6002 | 2005-12-29 |
| 1881688513 | Gary Wallace Fisher | Dentist | 1203 E 33rd St, Ste 100, Tulsa, OK 74105-2040 | 2005-09-08 |
| 1376542928 | Ronald Lynn Winder | Dentist | 5602 S Memorial Dr, Tulsa, OK 74145-9016 | 2005-07-17 |
| 1992368278 | On The Cusp Midtown Pllc | Dentist | 4444 S Harvard Ave, Tulsa, OK 74135-2634 | 2019-04-22 |
| 1114249190 | Fox Broermann Pediatric Dentistry of Tulsa | Dentist | 6585 S Yale Ave Ste 510, Tulsa, OK 74136-8384 | 2010-02-18 |
| Find all providers in TULSA | ||||
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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.