| Restore Dentures And Dental Implants Pllc | |
|
1531 W 81st St Ste B Tulsa OK 74132-2900 | |
| (918) 471-1001 | |
| Not Available |
| Full Name | Restore Dentures And Dental Implants Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1531 W 81st St Ste B, Tulsa, Oklahoma |
| Authorized Official Name and Position | Heath Coleman (OWNER/DOCTOR) |
| Authorized Official Contact | 9184711004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Dentures And Dental Implants Pllc 1531 W 81st St Ste B Tulsa OK 74132-2900 Ph: (918) 471-1004 | Restore Dentures And Dental Implants Pllc 1531 W 81st St Ste B Tulsa OK 74132-2900 Ph: (918) 471-1001 |
| NPI Number | 1629641600 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 05/23/2023 |
| Medicare PECOS PAC ID | 4284164963 |
|---|---|
| Medicare Enrollment ID | O20250211000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629641600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Heath Bryan Coleman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740626308 PECOS PAC ID: 3274843586 Enrollment ID: I20250211000763 |
| Provider Name | Adam Tyler Barnes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598104747 PECOS PAC ID: 5496285041 Enrollment ID: I20250211003756 |
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