Tonie Waller, DDS

Dentist · Ada, OK

Individual Active NPI

NPI number 1720284458

Practice location

1921 Stonecipher Boulevard
Ada, OK 74820-3439
Phone
(580) 436-3980
Fax
(580) 421-6283

Open in Google Maps

NPI record

NPI
1720284458
Entity type
Individual (Type 1)
Enumeration date
June 21, 2007
Last updated
May 18, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 5058 OK

About Dr. Waller

Tonie Waller, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1921 Stonecipher Boulevard, Ada, OK 74820-3439. The NPI number 1720284458 was assigned on June 21, 2007 and the record was last updated on May 18, 2015.

Dr. Waller lists a license in the registry: #5058 (OK) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tonie Waller, DDS?

The NPI number is 1720284458.

What is the phone number of Dr. Waller?

The phone number listed for the practice location is (580) 436-3980.

Where is Dr. Waller located?

1921 Stonecipher Boulevard, Ada, OK 74820-3439.

What is the taxonomy code for Dr. Waller?

The primary taxonomy code is 122300000X – Dentist.

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.

Other Dentist providers in Ada

All Dentist providers in Ada, OK →