# JENNI BURKITT D.D.S. PLLC

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

## Provider details

- **NPI number:** 1063780732
- **Authorized official:** DR. JENNI BURKITT DDS (DENTIST)
- **Authorized official phone:** (918) 250-5030

## Contact information

- **Practice address:** 9729 E 79TH ST, TULSA, OK 74133-4566
- **Practice address phone:** (918) 250-5030
- **Practice address fax:** (918) 254-8977
- **Mailing address:** 9729 E 79TH ST, TULSA, OK 74133-4566
- **Mailing address phone:** (918) 250-5030
- **Mailing address fax:** (918) 254-8977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5368 | OK | Yes |

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200116720A | — | OK |