Radant, Matthew Raymond

Radant, Matthew Raymond is an individual health care provider with primary practice located at 6161 S Yale Ave , Tulsa OK 74136-1902. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Radant, Matthew Raymond can be contacted via phone (918) 494-1805.

Contact Information

Primary practice address
6161 S Yale Ave Tulsa OK 74136-1902
Phone: (918) 494-1805
Fax: (918) 494-4573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7455 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X 35081 Oklahoma

Profile Details

NPI number 1316226087
LBN Legal business name Radant, Matthew Raymond
Credentials MD, DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2011
Last updated Jan 4th, 2024 - about 11 months 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 1316226087 NPPES
Oklahoma MEDICAID 200981500A

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