Provider Demographics
NPI:1982865911
Name:COLPITTS, G. THOMAS II (DDS)
Entity Type:Individual
Prefix:DR
First Name:G.
Middle Name:THOMAS
Last Name:COLPITTS
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 E 81ST ST STE 1600
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-4270
Mailing Address - Country:US
Mailing Address - Phone:918-477-9000
Mailing Address - Fax:918-477-9056
Practice Address - Street 1:2448 E. 81ST ST., SUITE 1600
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137
Practice Address - Country:US
Practice Address - Phone:918-477-9000
Practice Address - Fax:918-477-9056
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice