# SIH OKLAHOMA PC

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

## Provider details

- **NPI number:** 1295254068
- **Authorized official:** GREGORY TULL DMD (OWNER/PRINCIPAL)
- **Authorized official phone:** (913) 254-4065

## Contact information

- **Practice address:** 1325 N WALKER AVE 547, OKLAHOMA CITY, OK 73103-6405
- **Practice address phone:** (800) 492-4664
- **Practice address fax:** (913) 747-1001
- **Mailing address:** 4400 SHAWNEE MISSION PKWY STE 208, FAIRWAY, KS 66205-2518
- **Mailing address phone:** (800) 492-4664
- **Mailing address fax:** (913) 747-1001

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 07/21/2022