CANADIAN VALLEY DENTISTRY PLLC NPI 1720437296

NPI Information

  • NPI: 1720437296
  • Provider Name: CANADIAN VALLEY DENTISTRY PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 705 EAGLE CIRCLE
    EL RENO, OK
    ZIP 73036
  • Phone: (405) 262-6677

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NPI Details

CANADIAN VALLEY DENTISTRY PLLC is a dental clinic center in El Reno, OK. CANADIAN VALLEY DENTISTRY PLLC NPI is 1720437296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 EAGLE CIRCLE
EL RENO, OK
ZIP 73036-150
Phone: (405) 262-6677
Fax: (405) 262-1235

The provider's authorized official is Ray Dean Tate .
The authorized official title is Dentist and has the following contact phone number (405) 262-6677.

The enumeration date for this NPI number is 6/6/2016 and was last updated on 7/12/2021.

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
11223G0001XDentistGeneral PracticeNo
2261QD0000XClinic/CenterDental6815OKLAHOMAYes

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: 11/21/2025

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