Healthcare Provider Details

I. General information

NPI: 1295945475
Provider Name (Legal Business Name): AMY ELIZABETH STONE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 E 49TH ST
TULSA OK
74105-8728
US

IV. Provider business mailing address

2250 E 49TH ST
TULSA OK
74105-8728
US

V. Phone/Fax

Practice location:
  • Phone: 918-481-6622
  • Fax: 918-492-0569
Mailing address:
  • Phone: 918-481-6622
  • Fax: 918-492-0569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number5812
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: