Organization
T&T SMILES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SEMON DDS (DENTIST/CO-OWNER)
(585) 261-6376
Entity
Organization
Contact information
Practice address
15075 S. YALE AVE, BIXBY, OK 74008
(585) 261-6376
Mailing address
7406 S ERIE AVE, TULSA, OK 74136-7103
(585) 261-6376
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740860139
CO-OWNERS NPI
OK
01
—
1821678210
CO-OWNER'S NPI
OK
Enumeration date
02/28/2025
Last updated
02/28/2025
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