ADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA P.C. NPI 1386412328

NPI Information

  • NPI: 1386412328
  • Provider Name: ADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA, P.C.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: ADVANTAGE DENTAL PLUS
  • CLIA Number: 37D2301846
  • Address: 2619 S ELM PL
    BROKEN ARROW, OK
    ZIP 74012
  • Phone: (918) 872-0218

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NPI Details

ADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA, P.C. is a general practice dentist in Broken Arrow, OK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA, P.C. NPI is 1386412328. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advantage Dental Plus.

The provider's business location address is:

2619 S ELM PL
BROKEN ARROW, OK
ZIP 74012-878
Phone: (918) 872-0218
Fax: (918) 872-0892

The provider's authorized official is Sherrie Edmondson .
The authorized official title is Sr Manager and has the following contact phone number (629) 999-5014.

The CLIA number assigned to this NPI record is 37D2301846 - other - dental with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2023 and was last updated on 3/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistNo
21223G0001XDentistGeneral PracticeYes
31223P0221XDentistPediatric DentistryNo
41223S0112XDentistOral and Maxillofacial SurgeryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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