OrganizationActive
Dustin Shaun Tedesco PLLC
NPI 1063822633 · Nephrology Physician · Norman, OK
Provider details
- NPI number
- 1063822633
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaun Tedesco, Owner/Physician(405) 936-0504
- License
- 25729 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1553 N Porter Ave
Norman, OK 73071-6621
Phone: (405) 217-8500
Fax: (405) 217-8501
Approximate (ZIP-level) locationGet directions
Mailing address
1553 N Porter Ave
Norman, OK 73071-6621
Registry dates
- Enumerated
- 2014-05-05
- Last updated
- 2014-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.