Active NPIOrganization

Advantage Dental Oral Health Center Of Oklahoma, P.c.

Dentist, General Practice in Broken Arrow, Oklahoma

NPI Number1386412328
Practice location
2619 S Elm Pl, Broken Arrow, OK 74012-7878
Fax
918-872-0892
Last updated
March 19, 2024

Advantage Dental Oral Health Center Of Oklahoma, P.c. is a healthcare organization based in Broken Arrow, OK. Advantage Dental Oral Health Center Of Oklahoma, P.c. practices in Broken Arrow, OK. The NPI Number for Advantage Dental Oral Health Center Of Oklahoma, P.c. is 1386412328. The current practice location address for Advantage Dental Oral Health Center Of Oklahoma, P.c. is 2619 S Elm Pl, Broken Arrow, OK 74012-7878 and can be reached out via phone at 918-872-0218 and via fax at 918-872-0892.

Provider Profile Details

NPI Number
1386412328
Provider Name
Advantage Dental Oral Health Center Of Oklahoma, P.c.
Provider Entity Type
Organization
Address
2619 S Elm Pl, Broken Arrow, OK 74012-7878
Phone Number
918-872-0218
Fax Number
918-872-0892
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
Yes
Parent Organization
Advantage Dental Oral Health Center Of Oklahoma, P.c.
Authorized Official
Sherrie Edmondson · Sr Manager · 629-999-5014
Other Names
Advantage Dental Plus (Doing Business As)
Provider Enumeration Date
December 19, 2023
Last Update Date
March 19, 2024
Certification Date
March 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2619 S Elm Pl
Broken Arrow, OK 74012-7878
Zip
74012-7878
Phone Number
918-872-0218
Fax Number
918-872-0892
Broken Arrow, OK 74012Get directions →

Provider Business Mailing Address Details

Address
63140 Britta St Ste D104
Bend, OR 97703-5738
City
Bend
State
OR
Zip
97703-5738
Phone Number
629-999-5014

License Information

Taxonomy (1)
Dentist · 122300000X
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary
Taxonomy (3)
Dentist, Pediatric Dentistry · 1223P0221X
Taxonomy (4)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advantage Dental Oral Health Center Of Oklahoma, P.c.?

The NPI number of Advantage Dental Oral Health Center Of Oklahoma, P.c. is 1386412328. It was assigned on December 19, 2023 and is currently active in the NPPES registry.

What is the specialty of Advantage Dental Oral Health Center Of Oklahoma, P.c.?

Advantage Dental Oral Health Center Of Oklahoma, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Advantage Dental Oral Health Center Of Oklahoma, P.c. practice?

The practice location is 2619 S Elm Pl, Broken Arrow, OK 74012-7878. The office can be reached at 918-872-0218 (phone) or 918-872-0892 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386412328 directly on the NPPES registry website.

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