Eastern Oklahoma Periodotnics – Periodontics, NPI 1720228075

Eastern Oklahoma Periodotnics is a healthcare provider. based in Tulsa, Oklahoma. specializing in Periodontics. The organization holds a License No. 5447 (OK). The NPI Number for Eastern Oklahoma Periodotnics is 1720228075

Main info

Organization
Name
Eastern Oklahoma Periodotnics
NPI
1720228075
Phone
(918) 492-0737
Address
6565 S YALE AVE
Authorized Official
DR. WILLIAM BERNARD WYNN IV PRESIDENT D.D.S. M.S.
Enumeration Date
26 February 2009
Last Update Date
26 February 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Eastern Oklahoma Periodotnics

  • 6565, South Yale Avenue, Warrenton, Tulsa, Tulsa County, Oklahoma, 70136, United States

    1008

    TULSA, OK 741368327

    Phone: (918) 492-0737

    Fax: (918) 492-9439

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74136)

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Reviews

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Frequently asked questions

Does Eastern Oklahoma Periodotnics have a public NPI I can cite?
Public records show Eastern Oklahoma Periodotnics under NPI 1720228075.
Should I treat Eastern Oklahoma Periodotnics as an active provider?
Patients and plans typically see Eastern Oklahoma Periodotnics as active in the national extract.
What services align with Eastern Oklahoma Periodotnics's listing?
Eastern Oklahoma Periodotnics's public classification highlights Periodontics. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Eastern Oklahoma Periodotnics?
Eastern Oklahoma Periodotnics is associated with Tulsa, Oklahoma in the same public data insurers reference.
Can I export Eastern Oklahoma Periodotnics's record?
You can download the official NPPES record; we summarize key fields for readability.

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