MEDICARE: MARK M. DAVIS, D.D.S., PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center		OK

General Provider Information

NPI Number	:	1457353278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK M. DAVIS, D.D.S., PC

Provider Business Mailing Address
First Line	:	5301 S LEWIS AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-6539
Country	:	US
Telephone Number	:
Fax Number	:	918-858-1049

Provider Business Practice Location Address
First Line	:	5301 S LEWIS AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-6539
Country	:	US
Telephone Number	:	918-742-8100
Fax Number	:	918-858-1049

Authorized Official
Title or Position	:	OWNER
Name	:	MARK M DAVIS
Credential	:	D.D.S.
Telephone Number	:	918-742-8100

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1982613824 — MARK M DAVIS DDS
Practice Location Address:

5301 S LEWIS AVE
TULSA, OK
74105-6539

Practice Phone: 918-742-8100
Practice Fax: 918-742-8159

1982762753 — DR. CHRISTOPHER RYAN CRAIN DDS
Practice Location Address:

5301 S LEWIS AVE
TULSA, OK
74105-6539

Practice Phone: 918-770-0870
Practice Fax:

1306578182 — KIRTAN KAUR
Practice Location Address:

5301 S LEWIS AVE
TULSA, OK
74105-6539

Practice Phone: 918-770-0870
Practice Fax:

1619053261 — MR. RALPH E. R. NICHOLS LCSW
Practice Location Address:

6539 E 31ST ST , SUITE 8
TULSA, OK
74145-1242

Practice Phone: 918-828-9707
Practice Fax: 918-828-9706

1467790493 — MAATI RA COUNSELING SERVICES, PLLC
Practice Location Address:

6539 E 31ST ST , STE 4B
TULSA, OK
74145-1242

Practice Phone: 918-392-4965
Practice Fax: 918-392-4966

1336480433 — MR. CURTIS E DIGGS JR. CASE MANAGER II
Practice Location Address:

6539 E 31ST ST , SUITE 4B
TULSA, OK
74145-1242

Practice Phone: 918-392-4965
Practice Fax: 918-392-4966

Directions to “MARK M. DAVIS, D.D.S., PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.