Provider Demographics
NPI:1407746860
Name:NATIONAL BOARD OF DENTAL LEGAL NURSE CONSULTANT
Entity type:Organization
Organization Name:NATIONAL BOARD OF DENTAL LEGAL NURSE CONSULTANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER ANDNATIONAL DIRECTOR, DLNC
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ADCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:PN, DLNC, LNC
Authorized Official - Phone:918-340-8718
Mailing Address - Street 1:2415 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-3118
Mailing Address - Country:US
Mailing Address - Phone:918-340-8718
Mailing Address - Fax:
Practice Address - Street 1:7035 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3000
Practice Address - Country:US
Practice Address - Phone:918-340-8718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management