Provider Demographics
NPI:1124818471
Name:FROST, COLE MCKAY (DMD)
Entity type:Individual
Prefix:
First Name:COLE
Middle Name:MCKAY
Last Name:FROST
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12911 E 31ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74134-3208
Mailing Address - Country:US
Mailing Address - Phone:539-476-4994
Mailing Address - Fax:
Practice Address - Street 1:12911 E 31ST ST STE A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74134-3208
Practice Address - Country:US
Practice Address - Phone:539-476-4994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK80621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice