Healthcare Provider Details

I. General information

NPI: 1124192687
Provider Name (Legal Business Name): JAMES S. TORCHIA, DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 S YALE AVE SUITE 510
TULSA OK
74136-8378
US

IV. Provider business mailing address

6565 S YALE AVE SUITE 510
TULSA OK
74136-8378
US

V. Phone/Fax

Practice location:
  • Phone: 918-492-4822
  • Fax: 918-492-4920
Mailing address:
  • Phone: 918-492-4822
  • Fax: 918-492-4920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number2732 & 34
License Number StateOK

VIII. Authorized Official

Name: DR. JAMES S TORCHIA
Title or Position: PRESIDENT ORTHODONTIST
Credential: DDS, MSD
Phone: 918-492-4822