OrganizationActive
Tulsa Restorative Dentistry PLLC
NPI 1639837354 · Dental Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1639837354
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Jennings, Owner(940) 206-8956
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
9445 S Mingo Rd
Tulsa, OK 74133-5826
Phone: (918) 286-7776
Street-level locationGet directions
Mailing address
2109 Commerce St # 200
Dallas, TX 75201-4305
Registry dates
- Enumerated
- 2021-11-30
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.