Provider Demographics
NPI:1205033016
Name:NESLIHAN E HARGETT DDS PLLC
Entity Type:Organization
Organization Name:NESLIHAN E HARGETT DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER OF DENTAL PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:NESLIHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARGETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-724-2237
Mailing Address - Street 1:4515 E. 91ST STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137
Mailing Address - Country:US
Mailing Address - Phone:918-749-5033
Mailing Address - Fax:918-749-4394
Practice Address - Street 1:4515 E. 91ST STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137
Practice Address - Country:US
Practice Address - Phone:918-749-5033
Practice Address - Fax:918-749-4394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOK55241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty