Tonie Waller, DDS
NPI 1720284458ActiveIndividual· Dentist· Ada, OK
Dentist (DDS) in Ada, Oklahoma, licensed in OK, with an NPI issued in June 2007. Enrolled in Medicare as order and referring only - oral surgery.
Overview
| NPI | 1720284458 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jun 21, 2007 |
| Last updated in NPPES | May 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 5058 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Oral Surgery (TX) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Ada
- 1720314479
- 1427010172
- 1285662445
- 1134223597
- 1750677159
- 1588893085
- 1255778668
- 1396273314
- 1003170887
- 1063941177
- 1770788408
- 1104833730