# HEALTHY SMILES FAMILY DENTISTRY PLLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthy Sleep Tulsa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104272913
- **Authorized official:** DR. LORI HARE DDS (OWNER PARTNER)
- **Authorized official phone:** (918) 749-0303

## Contact information

- **Practice address:** 1326 E 43RD CT STE 100, TULSA, OK 74105-4155
- **Practice address phone:** (918) 749-0303
- **Practice address fax:** (918) 749-0304
- **Mailing address:** 1326 E 43RD CT, STE 100, TULSA, OK 74105-4154
- **Mailing address phone:** (918) 749-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5123 | OK | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 05/11/2016
- **Last updated:** 09/20/2022
