# RANDALL SEGNAR DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043485741
- **Authorized official:** DR. RANDALL RICHARD SEGNAR D.O. (DENTIST/OWNER)
- **Authorized official phone:** (918) 749-4621

## Contact information

- **Practice address:** 4608 S HARVARD AVE STE B, TULSA, OK 74135-2913
- **Practice address phone:** (918) 749-4621
- **Practice address fax:** (918) 749-4623
- **Mailing address:** 4608 S HARVARD AVE STE B, TULSA, OK 74135-2913
- **Mailing address phone:** (918) 749-4621
- **Mailing address fax:** (918) 749-4623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5441 | OK | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/24/2008