Dentino, Carole M

Dentino, Carole M is an individual health care provider with primary practice located at 4500 S Garnett Rd Suite 300, Tulsa OK 74146-5229. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Dentino, Carole M can be contacted via phone (918) 728-6194.

Contact Information

Primary practice address
4500 S Garnett Rd Suite 300 Tulsa OK 74146-5229
Phone: (918) 728-6194
Fax: (918) 664-0267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 14202 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 14202R Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29405 Oklahoma

Profile Details

NPI number 1689652869
LBN Legal business name Dentino, Carole M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Sep 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689652869 NPPES
Louisiana Other 14202R MEDICAL LICENSE
Louisiana MEDICAID 1104701 MEDICAL LICENSE

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