Healthcare Provider Details

I. General information

NPI: 1396752499
Provider Name (Legal Business Name): W. SCOTT HARRINGTON DMD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 S ATLANTA PL
TULSA OK
74114-1709
US

IV. Provider business mailing address

2111 S ATLANTA PL
TULSA OK
74114-1709
US

V. Phone/Fax

Practice location:
  • Phone: 918-743-9929
  • Fax: 918-743-1546
Mailing address:
  • Phone: 918-743-9929
  • Fax: 918-743-1546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number3666
License Number StateOK

VIII. Authorized Official

Name: MRS. MARY Y PARISH
Title or Position: OFFICE MANAGER
Credential:
Phone: 918-743-9929