SearchOklahoma104100000X

Shantel Dixon

NPI 1699337428 · on the registry since 2019 · sole proprietor

Practice

Address
44 N Louisville Ave
Tulsa, OK 74115
Phone
(918) 671-4090

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
171M00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma