Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720284458 Individual Practitioner Male Practitioner

Dr. Tonie Waller , DDS

Dentist • Ada, OK

Professional Overview & Biography Verified Profile Summary

Dr. Tonie Waller, DDS is a registered healthcare professional specializing in Dentist in Ada, OK. Practice services are available at 1921 STONECIPHER BOULEVARD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1921 Stonecipher Boulevard

Ada, OK 748203439

Telephone 5804363980
Fax 5804216283
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ada, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Ada, OK (1115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 5058

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003170887

Doctor of Dental Surgery

Akilah Dunn , APRN-CNP

Nurse Practitioner - Family

NPI 1003505033

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Lucretia Barker , MD

Obstetrics & Gynecology

NPI 1003817172

Doctor of Medicine (M.D.)

Tanya Hatter

Pharmacy Technician

NPI 1013088616
Travis Teel , PA

Physician Assistant

NPI 1013210830

Physician Assistant

NPI 1013509728

APRNCNM

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2015

Registered at 1921 STONECIPHER BOULEVARD, ADA, OK 748203439 (Tel: 5804363980)

📍
Updated Business Mailing Address May 18, 2015

Registered at 1921 STONECIPHER BOULEVARD, ADA, OK 748203439 (Tel: 5804363980)

👤
Provider Name / Credentials Updated May 18, 2015

Recorded as TONIE WALLER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2015

Dentist (License #5058 in OK)

🟢
Initial NPI Registration & Enumeration June 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720284458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2007
Last Update: May 18, 2015
Sole Proprietor: No

Mailing Address

1921 Stonecipher Boulevard

Ada, OK 748203439

Phone: 5804363980

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.