Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457734113 Individual Practitioner Male Practitioner

Dr. Nathaniel Gray Heinsohn , DDS

Dentist • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Dr. Nathaniel Heinsohn, DDS is a registered healthcare professional specializing in Dentist in Broken Arrow, OK. Practice services are available at 2619 S ELM PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2619 S Elm Pl

Broken Arrow, OK 740127878

Telephone 9188720218
Associated Practice Facility / Clinic
🏢 Reusser And Reusser Llc Facility NPI 1831305580

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Broken Arrow, OK

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

Practicing in Broken Arrow, 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

CMS Verified: 2025-10-27
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 7383

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TN 10100

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

2 Associated Practitioners
Dr. Bradley Wilson , DDS, MSD

Dentist - General Practice

NPI 1053329185

Doctor of Dental Surgery, MSD

Dr. Sally Bock , DDS

Dentist - General Practice

NPI 1225605298

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 27, 2025

Registered at 2619 S ELM PL, BROKEN ARROW, OK 740127878 (Tel: 9188720218)

📍
Updated Business Mailing Address October 27, 2025

Registered at 2619 S ELM PL, BROKEN ARROW, OK 740127878 (Tel: 9188720218)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2025

Dentist (License #7383 in OK)

📍
Updated Practice Location February 15, 2023

Registered at 6565 S YALE AVE, TULSA, OK 741368327 (Tel: 9187431558)

📍
Updated Business Mailing Address February 15, 2023

Registered at PO BOX 450819, GROVE, OK 743450819 (Tel: 9187431558)

NPI Profile Active June 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2015

Registered at 201 E BROADWAY AVE, #101, MARYVILLE, TN 378045741 (Tel: 8659826680)

📍
Updated Business Mailing Address June 30, 2015

Registered at 201 E BROADWAY AVE, #101, MARYVILLE, TN 378045741 (Tel: 8659826680)

👤
Provider Name / Credentials Updated June 30, 2015

Recorded as NATHANIEL HEINSOHN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2015

Dentist (License #10100 in TN)

🟢
Initial NPI Registration & Enumeration June 30, 2015

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: 1457734113
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2015
Last Update: October 27, 2025
Sole Proprietor: Yes

Mailing Address

2619 S Elm Pl

Broken Arrow, OK 740127878

Phone: 9188720218

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.