Jonathan Soetandio, DMD
NPI 1093329260 · General Practice Dentistry · Tulsa, OK
Jonathan Soetandio, DMD is a General Practice Dentistry provider in Tulsa, OK (NPI 1093329260).
Provider details
- NPI number
- 1093329260
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 7387 (OK)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 30 | 26 |
| Chlorhexidine Gluconate | 15 | 12 |
| Fluoride (sodium)brand: Prevident | 14 | — |
| Sodium Fluoride/Potassium Nitbrand: Prevident 5000 Sensitive | 12 | — |
| Fluoride (sodium)brand: Sodium Fluoride | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 215 S Loop 336 WConroe, TX 77304-3305Phone: (936) 270-1294
Registry dates
- Enumerated
- 2020-09-03
- Last updated
- 2021-12-14
- Certified
- 2021-12-14
Frequently asked questions
- What is Jonathan Soetandio's NPI number?
- Jonathan Soetandio's National Provider Identifier (NPI) is 1093329260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Soetandio's specialty?
- Jonathan Soetandio is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jonathan Soetandio located?
- Jonathan Soetandio's practice location on file with NPPES is 5510 E 41st St Ste C, Tulsa, OK 74135-6009.
- What is Jonathan Soetandio's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Soetandio is (918) 641-4635.
- Is Jonathan Soetandio's NPI active?
- Yes — Jonathan Soetandio's NPI (1093329260) is active in the NPPES registry as of the last update on 2021-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.