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Dustin Shaun Tedesco Pllc

Nephrology Physician in Norman, OK · enumerated 2014 · authorized official Shaun Tedesco, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063822633

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Registry record

Entity type Organization (Type 2)
Legal business name Dustin Shaun Tedesco Pllc
Practice address 1553 N Porter Ave, Norman, OK, 73071
Fax (405) 217-8501
Enumeration date May 5, 2014
Last updated in NPPES May 5, 2014

Taxonomy & classification

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License 25729 (OK) Primary

Authorized official

Name Shaun Tedesco
Title Owner/Physician

Other identifiers

Identifier Type State Issuer
200206650B Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Dustin Shaun Tedesco Pllc?
NPPES lists Shaun Tedesco (Owner/Physician) as the authorized official for this organization.
What is the NPI number for Dustin Shaun Tedesco Pllc?
The NPI for Dustin Shaun Tedesco Pllc is 1063822633, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-05.