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.
Organization
BLUE AND RED DENTAL LLC
Active
Organization
BLUE AND RED DENTAL LLC
Active
Other names
Shine Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DALE PATTEN D.D.S. (DENTIST)
(918) 518-6305
Entity
Organization
Contact information
Practice address
2840 E 101ST ST, TULSA, OK 74137-5601
(918) 518-6305
(918) 518-6327
Mailing address
2840 E 101ST ST, TULSA, OK 74137-5601
(918) 518-6305
(918) 518-6327
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
5990
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119910A
—
OK
Enumeration date
02/23/2012
Last updated
02/23/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up