OrganizationActive
Tulsa Kids Dental PLLC
NPI 1790437952 · Dentist · Tulsa, OK
Tulsa Kids Dental PLLC is a Dentist organization in Tulsa, OK (NPI 1790437952).
Provider details
- NPI number
- 1790437952
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Creed Cardon, Owner(918) 998-0996
Specialties & taxonomies
Dental Providers
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
10127 S Yale Ave
Tulsa, OK 74137-6002
Phone: (918) 998-0996
Street-level locationGet directions
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Other names (DBA / former)
- Doing business as
- South Tulsa Kids Dental
- Doing business as
- South Tulsa Kids Dental
Registry dates
- Enumerated
- 2022-01-19
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Frequently asked questions
- What is Tulsa Kids Dental PLLC's NPI number?
- Tulsa Kids Dental PLLC's National Provider Identifier (NPI) is 1790437952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tulsa Kids Dental PLLC?
- Tulsa Kids Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Tulsa Kids Dental PLLC located?
- Tulsa Kids Dental PLLC's practice location on file with NPPES is 10127 S Yale Ave, Tulsa, OK 74137-6002.
- What is Tulsa Kids Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tulsa Kids Dental PLLC is (918) 998-0996.
- Who is the authorized official for Tulsa Kids Dental PLLC?
- The authorized official listed on Tulsa Kids Dental PLLC's NPPES record is Creed Cardon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tulsa Kids Dental PLLC's NPI active?
- Yes — Tulsa Kids Dental PLLC's NPI (1790437952) is active in the NPPES registry as of the last update on 2023-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.