Tyson Heath Roulston, D.D.S

General Practice Dentistry · Drumright, OK

Individual Active NPI

NPI number 1699039339

Practice location

1226 W Broadway St
Drumright, OK 74030-5826
Phone
(918) 352-3312

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NPI record

NPI
1699039339
Entity type
Individual (Type 1)
Enumeration date
June 27, 2012
Last updated
June 27, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6407 OK

Mailing address

19434 W 105TH St S
Sapulpa, OK 74066-8055

About Dr. Roulston

Tyson Heath Roulston, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1226 W Broadway St, Drumright, OK 74030-5826. The NPI number 1699039339 was assigned on June 27, 2012 and the record was last updated on June 27, 2012.

Dr. Roulston lists a license in the registry: #6407 (OK) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyson Heath Roulston, D.D.S?

The NPI number is 1699039339.

What is the phone number of Dr. Roulston?

The phone number listed for the practice location is (918) 352-3312.

Where is Dr. Roulston located?

1226 W Broadway St, Drumright, OK 74030-5826.

What is the taxonomy code for Dr. Roulston?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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