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General NPI Number Information
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NPI Number | 1043748494
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Entity Type | Individual
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Provider Name | TOBY D ALLEN DDS, PHD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 8194 E 111TH ST S
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City | BIXBY
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State | OK
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Zip | 74008-2421
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Country | US
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Telephone | 918-369-6118
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Fax |
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Provider Business Mailing Address
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Address Line | 530 S PEORIA AVENUE
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City | TULSA
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State | OK
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Zip | 74120-3820
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Country | US
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Telephone | 405-255-6216
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Fax | 918-382-1285
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6959
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License Number State | OK
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