# WEST TULSA DENTAL CENTER

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

## Provider details

- **NPI number:** 1457678039
- **Authorized official:** TRAVIS DEAN BURKETT DDS (PARTNER)
- **Authorized official phone:** (918) 352-3312

## Contact information

- **Practice address:** 5031 S 33RD WEST AVE, TULSA, OK 74107-7409
- **Practice address phone:** (918) 352-3312
- **Practice address fax:** (918) 352-2681
- **Mailing address:** PO BOX 712, DRUMRIGHT, OK 74030-0712
- **Mailing address phone:** (918) 352-3312
- **Mailing address fax:** (918) 352-2681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2010
- **Last updated:** 04/22/2010