CARDELYN DDS INC PC (NPI# 1720514805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720514805 |
| Entity Type | Organization |
| Organization Name | CARDELYN DDS INC PC |
| Other Organization Name | KIDS DENTAL |
| Practice Address |
10342 E 21st St Tulsa OK 74129-1606 |
| Practice Telephone | 9188958090 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | MR. SEAN COSTELLO (OWNER/DENTIST) |
| Authorized Official Telephone | 9188958090 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5475 | OK | Dental Providers |
| Other Name | Type Code |
|---|---|
| Kids Dental | Doing Business As Name - Organization |
| Street Address |
10342 E 21ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74129-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114405594 | Go2therapy LLC | Counselor | 6931 E 31st Street, Unit 31, Tulsa, OK 74129 | 2018-07-30 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1952459489 | Cleartone Hearing Aid Laboratories Inc | Hearing Instrument Specialist | 2323 South Sheridan, Tulsa, OK 74129 | 2007-01-08 |
| 1407879422 | Lonnie F Morris | Psychiatry & Neurology | 2316 S. Garnett, Suite E, Tulsa, OK 74129 | 2006-07-25 |
| 1902876360 | Carla Jean Pohl | Advanced Practice Midwife | 2815 S Sheridan Rd, Tulsa, OK 74129 | 2006-01-26 |
| 1710458856 | Brittany Paige Watkins | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-12-16 |
| 1043799968 | Latosha Renee | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-08-10 |
| 1285128710 | Amanda Danielle Woods-roberts | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-18 |
| 1407349129 | Terri Lynne Ross | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-07 |
| 1225529449 | Sydney Herburger | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-05-23 |
| Find all providers in zip 74129 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470743 | Tara Renae Littlefield | Dentist | 4770 S Harvard Ave, Tulsa, OK 74135-3024 | 2020-06-02 |
| 1548779135 | Dental Depot of I-44 & Harvard, Pllc | Dentist | 4770 S. Harvard Ave., Tulsa, OK 74135-3024 | 2017-09-26 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1407384639 | Scott Douglas Street | Dentist | 5510 E 41st St Ste C, Tulsa, OK 74135-6009 | 2017-06-01 |
| 1225566821 | Linda Jeanette Loscuito | Dentist | 5540 S 79th East Pl, Tulsa, OK 74145-7846 | 2017-05-25 |
| 1104272913 | Healthy Smiles Family Dentistry Pllp | Dentist | 1326 E 43rd Ct, Ste 100, Tulsa, OK 74105-4154 | 2016-05-11 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| 1588071823 | Ryan Coursey | Dentist | 7891 E 108th St, Suite X-4, Tulsa, OK 74133-7405 | 2014-07-18 |
| 1235560194 | D-link Dental Network | Dentist | 1647 E 61st St, Tulsa, OK 74136-0712 | 2013-12-03 |
| 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.