# SPRING DENTAL-PEORIA, PLLC

> 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:** 1144667395
- **Authorized official:** RENEE MCBAY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (918) 998-0996

## Contact information

- **Practice address:** 4955 S. PEORIA AVE, TULSA, OK 74105
- **Practice address phone:** (918) 872-7140
- **Mailing address:** 400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
- **Mailing address phone:** (918) 998-0996
- **Mailing address fax:** (918) 235-9079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6435 | OK | Yes |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 06/14/2018