Active NPIOrganization

Advantage Dental Group, PLLC

Dentist in Bixby, Oklahoma

NPI Number1063974640
Practice location
11907 S Memorial Dr Ste B, Bixby, OK 74008-2045
Fax
—
Last updated
April 3, 2019

Advantage Dental Group, PLLC is a healthcare organization based in Bixby, OK. The NPI number for Advantage Dental Group, PLLC is 1063974640. The current practice location address is 11907 S Memorial Dr Ste B, Bixby, OK 74008-2045 and the office can be reached by phone at 918-394-0303. The NPI was assigned on April 3, 2019 and the record was last updated in NPPES on April 3, 2019.

●Provider Profile Details

NPI Number
1063974640
Provider Name
Advantage Dental Group, PLLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Matt Hale · Authorized Representative · 214-702-0729
Enumeration Date
April 3, 2019
Last Update Date
April 3, 2019
NPI Status
Active
Other Names
Advantage Dental (Doing Business As)

◉Business Practice Location Address

Address
11907 S Memorial Dr Ste B
Bixby, OK 74008-2045
City
Bixby
ZIP
74008-2045
Country
US
Phone Number
918-394-0303

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✉Business Mailing Address

Address
15660 Dallas Pkwy Ste 925
Dallas, TX 75248-3323
City
Dallas
State
TX
ZIP
75248-3323
Phone Number
214-702-0720

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist
193200000X - Multi-Specialty Group
122300000XYes——

#Other Provider Identifiers

No legacy or other 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 Group, PLLC?

The NPI number of Advantage Dental Group, PLLC is 1063974640. It was assigned on April 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Advantage Dental Group, PLLC?

Advantage Dental Group, PLLC is registered under the primary taxonomy Dentist (code 122300000X).

Where does Advantage Dental Group, PLLC practice?

The practice location is 11907 S Memorial Dr Ste B, Bixby, OK 74008-2045. The office can be reached at 918-394-0303 (phone).

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 1063974640 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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