DAVID W PEDICORD


Address: 4606 E 67th Street, Suite 208, Tulsa, OK 74136
Phone: 9184915888

DAVID W PEDICORD (NPI# 1760536866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760536866
Entity Type Individual
Full Name DAVID W PEDICORD
Credential DDS MDS
Practice Address 4606 E 67th Street
Suite 208
Tulsa
OK 74136
Mailing Address 4606 E 67th Street
Ste 208
Tulsa
OK 74136
Practice Telephone 9184915888
Practice Fax Number 9184915883
Mailing Telephone 9184915888
Mailing Fax Number 9184915883
Enumeration Date 2007-01-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
OK3706 OK Dental Providers

Office Location

Street Address 4606 E 67TH STREET
SUITE 208
City TULSA
State OK
Zip Code 74136

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912520883 Esmeralda Rosales Behavior Technician 7306 S. Yale Ave, Tulsa, OK 74136 2020-05-26
1851939631 Kenneth Aaron Pohl Behavior Technician 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 2019-12-12
1578109195 Brett Ray Weaver Chiropractor Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 2019-11-19
1477194488 Adhd and Mood Center of Oklahoma Clinic/Center 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 2019-10-01
1093272510 Whitney Christine Pilkenton Registered Nurse 6161 S. Yale Ave., Tulsa, OK 74136 2019-02-21
1538639190 Osu Center for Health Sciences Clinic/Center 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 2018-11-27
1043786304 Saint Francis Hospital, Inc. Hospice Care, Community Based 6600 South Yale Ave Suite 350, Tulsa, OK 74136 2018-10-15
1891282877 Premier Rheumatology of Oklahoma Internal Medicine 6114 E. 61st Street, Tulsa, OK 74136 2018-04-16
1679092175 Grace Eloise Evans Counselor 6655 S. Yale Ave, Tulsa, OK 74136 2017-09-15
1598283756 David Oladipo Abioye Counselor 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 2017-09-07
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013187186 Denny W Southard Dentist 6565 S Yale Ave Ste 712, Tulsa, OK 74136-8308 2008-03-05
1346210168 Jeffrey Roland Johnson Dentist 7134 S Yale Ave, Suite 205, Tulsa, OK 74136-6372 2006-01-24
1962822387 Rodney P. Steffen, Dds, PC Dentist 1420 S Lewis Ave, Tulsa, OK 74104-4641 2014-04-24
1013353325 Apex Endodontics, Pllc Dentist 5010 E 68th St, Suite 202, Tulsa, OK 74136-3323 2013-05-14
1649416876 Johnson and Southard Endodontics Dentist 5010 E 68th St, Suite 104, Tulsa, OK 74136-3323 2008-12-17
1205095270 Edward W Grimes Dds Inc Dentist 6112 E 61st St, Tulsa, OK 74136 2008-06-05
1790951614 Endodontic Specialists of Northeast Ok Dentist 5555 E 71st St, Ste 9210, Tulsa, OK 74136-6542 2008-04-30
1295945475 Amy Elizabeth Stone Dentist 6565 S Yale Ave, Suite #712, Tulsa, OK 74136-8378 2007-05-23
1215054820 Laurie Lynn Southard Dentist 5010 E 68th St, Suite 104, Tulsa, OK 74136-3323 2007-03-26
1609984525 Robert A Augsburger Dentist 4606 E 67th St, Bldg 7 Suite 201, Tulsa, OK 74136-4943 2006-08-29
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Competitor

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City TULSA
Zip Code 74136

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Dataset Information

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.

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