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Deactivated NPI 1174779995 Deactivated / Inactive NPI Male Practitioner

Dr. Jan Cobble , DDS

Dentist • Tulsa, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jan Cobble has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2008
NPI Deactivation Date November 29, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jan Cobble, DDS was a registered Dentist practicing in Tulsa, OK. Throughout an active medical career spanning 15 years, Dr. Cobble provided care at the practice location at 8908 S YALE AVE until profile deactivation on 2023-11-29.

Practice Location & Contact Primary Location

Practice Address

8908 S Yale Ave
Suite 430

Tulsa, OK 741373557

Telephone 9184962481
Associated Practice Facility / Clinic
🏢 Maribeth Blunt Pllc Facility NPI 1134392087

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tulsa, OK

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

Practicing in Tulsa, 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 3457

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

1 Associated Practitioners
Dr. Stephanie Brown , DDS

Dentist - Pediatric Dentistry

NPI 1346661311

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 29, 2023

Record deactivated on November 29, 2023

NPI Profile Active August 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2008

Registered at 8908 S YALE AVE, SUITE 430, TULSA, OK 741373557 (Tel: 9184962481)

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Updated Business Mailing Address August 12, 2008

Registered at 8908 S YALE AVE, SUITE 430, TULSA, OK 741373557 (Tel: 9184962481)

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Provider Name / Credentials Updated August 12, 2008

Recorded as JAN COBBLE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2008

Dentist (License #3457 in OK)

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Initial NPI Registration & Enumeration August 12, 2008

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: 1174779995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2008
Last Update: August 12, 2008
Deactivation Date: November 29, 2023

Mailing Address

8908 S Yale Ave, Suite 430

Tulsa, OK 741373557

Phone: 9184962481

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.