# DOMIAN FAMILY DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1114684636
- **Authorized official:** DR. ALLYSON PAIGE DOMIAN DMD (DENTIST/OWNER)
- **Authorized official phone:** (918) 743-2928

## Contact information

- **Practice address:** 1321 E 35TH ST, TULSA, OK 74105-2648
- **Practice address phone:** (918) 743-2928
- **Practice address fax:** (918) 743-2295
- **Mailing address:** 1321 E 35TH ST, TULSA, OK 74105-2648
- **Mailing address phone:** (918) 743-2928
- **Mailing address fax:** (918) 743-2295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2021
- **Last updated:** 11/18/2021