OrganizationActive
A Great Place to Smile
NPI 1770824781 · General Practice Dentistry · Tulsa, OK
Provider details
- NPI number
- 1770824781
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Marc Susman, Owner / Doctor(918) 683-8844
- License
- 4774 (OK)
Specialties & taxonomies
Dental Providers
Practice location
5510 S Memorial Dr
Tulsa, OK 74145-9038
Phone: (918) 663-9990
Fax: (918) 622-9991
Approximate (ZIP-level) locationGet directions
Mailing address
5510 S Memorial Dr
Tulsa, OK 74145-9038
Registry dates
- Enumerated
- 2013-03-15
- Last updated
- 2013-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.