NPI 1457210494 · live from the CMS NPI Registry
Tala Al Awwad
Dentist in Okmulgee, OK. National Provider Identifier 1457210494, active.
NPI record
| NPI | 1457210494 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1829 S Wood Dr, Okmulgee, OK 74447 |
| Practice phone | 918-756-6500 |
| Mailing address | 213 W Civic Center Dr Apt 328, Sandy, UT 84070 |
| Enumerated | January 16, 2026 |
| Last updated | May 7, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 8235 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.