Provider Demographics
NPI:1871092809
Name:PIRTLE, DUSTIN (BHCM II)
Entity type:Individual
Prefix:
First Name:DUSTIN
Middle Name:
Last Name:PIRTLE
Suffix:
Gender:M
Credentials:BHCM II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78641 N 2640 RD
Mailing Address - Street 2:
Mailing Address - City:HITCHCOCK
Mailing Address - State:OK
Mailing Address - Zip Code:73744-4414
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 NE 11TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-2605
Practice Address - Country:US
Practice Address - Phone:405-230-1131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-05
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical