Pediatric DentistIndex

Pediatric Dentistry of Oklahoma

Pediatric dental practice in Oklahoma City, OK

Registered provider

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Public-record details

Address
3613 Nw 56th St Ste 105, Oklahoma City, OK 73112
Phone
(405) 946-2455
Listed under
Practices and organizations
NPI
1629643903
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Pediatric Dentistry (1223P0221X)
NPI first issued
May 20, 2021
Years since NPI first issued
5 years (since 2021)
NPI record last updated
May 20, 2021
Other practice locations (NPPES)
1: Midwest City, OK
Pediatric dentistry listings at this street address
1 (only this one)

NPI 1629643903 is active in the federal NPPES registry (CMS) with Pediatric Dentistry, an ADA-recognized dental specialty, as its self-reported primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Pediatric Dentist Index does not vet, employ, recommend or guarantee pediatric dental practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Pediatric Dentist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric dentists are dentists who completed an accredited pediatric dentistry residency after dental school. A registered specialty is not board certification. Verify the dental license with the state dental board and board certification with the American Board of Pediatric Dentistry.

View NPI 1629643903 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state dental board and board certification with the American Board of Pediatric Dentistry. Ask which insurance and Medicaid/CHIP plans the practice accepts.

Other pediatric dentistry listings in Oklahoma City

All 23 in Oklahoma City →