MEDICARE: DR. JERRY WAYNE ROBERTSON D.D.S.

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	1223G0001X	General Practice Dentistry	5329	OK

General Provider Information

NPI Number	:	1750575122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERRY WAYNE ROBERTSON D.D.S.

Provider Business Mailing Address
First Line	:	9224 S TOLEDO CT
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-2743
Country	:	US
Telephone Number	:	918-492-7263
Fax Number	:	918-492-7379

Provider Business Practice Location Address
First Line	:	9224 S TOLEDO CT
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-2743
Country	:	US
Telephone Number	:	918-492-7263
Fax Number	:	918-492-7379

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	08/29/2007

Similar Medicare Providers

1629363817 — F PHILIP ARCHER DDS PLLC
Practice Location Address:

9224 S TOLEDO CT
TULSA, OK
74137-2743

Practice Phone: 918-938-6161
Practice Fax: 918-492-7379

1023476462 — SONDRA SMOCK
Practice Location Address:

7813 S UNION AVE APT 414
TULSA, OK
74132-2743

Practice Phone: 918-268-4958
Practice Fax:

1942015946 — MRS. MARY ANN BUCHANAN FNP-C
Practice Location Address:

2488 E 81ST ST STE 2000
TULSA, OK
74137-4224

Practice Phone: 918-592-9020
Practice Fax:

1558953273 — BRIAN GRIGOR PTA
Practice Location Address:

2488 E 81ST ST STE 290
TULSA, OK
74137-4299

Practice Phone: 918-494-2665
Practice Fax: 918-927-3201

1578420352 — KATHRYN NOEL BYNUM APRN
Practice Location Address:

2448 E 81ST ST STE 1250
TULSA, OK
74137-4348

Practice Phone: 918-982-6250
Practice Fax:

1225995632 — HOLLY FRITCH PA-C
Practice Location Address:

2408 E 81ST ST STE 300
TULSA, OK
74137-4215

Practice Phone: 918-477-5000
Practice Fax:

Directions to “ DR. JERRY WAYNE ROBERTSON D.D.S.” 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 © 2007-2026 (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.