OrganizationActive
Hero Dental of Oklahoma PC
NPI 1053875690 · General Practice Dentistry · Tulsa, OK
Hero Dental of Oklahoma PC is a General Practice Dentistry organization in Tulsa, OK (NPI 1053875690).
Provider details
- NPI number
- 1053875690
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Charlotte Souder, Credentialing Manager(719) 649-0305
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7715 E 91st St Ste a
Tulsa, OK 74133-6060
Phone: (918) 872-7009
Street-level locationGet directions
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Other names (DBA / former)
- Doing business as
- Pediatric Dental Group II, LLC
Registry dates
- Enumerated
- 2019-01-28
- Last updated
- 2019-01-28
Frequently asked questions
- What is Hero Dental of Oklahoma PC's NPI number?
- Hero Dental of Oklahoma PC's National Provider Identifier (NPI) is 1053875690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hero Dental of Oklahoma PC?
- Hero Dental of Oklahoma PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Hero Dental of Oklahoma PC located?
- Hero Dental of Oklahoma PC's practice location on file with NPPES is 7715 E 91st St Ste a, Tulsa, OK 74133-6060.
- What is Hero Dental of Oklahoma PC's phone number?
- The practice phone number listed in the NPPES registry for Hero Dental of Oklahoma PC is (918) 872-7009.
- Who is the authorized official for Hero Dental of Oklahoma PC?
- The authorized official listed on Hero Dental of Oklahoma PC's NPPES record is Charlotte Souder, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hero Dental of Oklahoma PC's NPI active?
- Yes — Hero Dental of Oklahoma PC's NPI (1053875690) is active in the NPPES registry as of the last update on 2019-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.