# SANDRA KAY DIMMITT M.D. PC

> 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:** 1710201298
- **Authorized official:** RENEE BERRYMAN (CFO)
- **Authorized official phone:** (480) 268-2260

## Contact information

- **Practice address:** 2642 E 21ST ST STE 285, TULSA, OK 74114-1789
- **Practice address phone:** (918) 574-8800
- **Practice address fax:** (918) 574-8801
- **Mailing address:** 2642 E 21ST ST STE 285, TULSA, OK 74114-1789
- **Mailing address phone:** (918) 574-8800
- **Mailing address fax:** (918) 574-8801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 11700 | OK | Yes |

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 01/13/2011