Organization
GREATER TULSA ORTHODONTICS
Active
Other names
Cooper & Misner Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNER MISNER (OWNER)
(918) 488-8889
Entity
Organization
Contact information
Practice address
3916 E 91ST ST, TULSA, OK 74137-3602
(918) 488-8889
(918) 488-0676
Mailing address
3916 E 91ST ST, TULSA, OK 74137-3602
(918) 488-8889
(918) 488-0676
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336650837
INDIVIDUAL NPI#
OK
Enumeration date
09/13/2022
Last updated
09/13/2022
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