# TULSA FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matt E Warlick DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770759631
- **Authorized official:** MR. MATTHEW E WARLICK DDS (OWNER PRACTITIONER)
- **Authorized official phone:** (918) 459-9090

## Contact information

- **Practice address:** 6846 S CANTON AVE, STE 135, TULSA, OK 74136-3434
- **Practice address phone:** (918) 459-9090
- **Practice address fax:** (918) 459-9091
- **Mailing address:** 6846 S CANTON AVE, STE 135, TULSA, OK 74136-3434
- **Mailing address phone:** (918) 459-9090
- **Mailing address fax:** (918) 459-9091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5343 | OK | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 05/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100091800A | — | OK |