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PEDIATRIC DENTAL CARE, PLLC
NPI 1033779731
Dentist - Pediatric Dentistry in Yukon, OK

Active since June 17, 2019
1300 CROP CIR, YUKON, OK 73099(214) 702-0729 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, May 9, 2023, Jun 17, 2019 (3 updates tracked since 2019).

About Pediatric Dental Care, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTAL CARE, PLLC (NPI 1033779731) is a healthcare organization registered as a pediatric dentistry in Yukon, Oklahoma and active in the NPI registry since June 2019. The organization lists Amanda Lightfoot, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1033779731
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL CARE, PLLC
Location Address1300 CROP CIRYukon, OK 73099-4945
Mailing Address15660 Dallas Pkwy Ste 950Dallas, TX 75248-3309 · (214) 702-0729
Phone(214) 702-0729
Organization SubpartNo
Authorized OfficialAmanda LightfootAuthorized Representative · (214) 702-0708
Enumeration DateJune 17, 2019
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1033779731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1300 CROP CIR, Yukon, OK 73099
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSTANCE SCHRECK DMD
Dentist (General Practice)
1300 CROP CIR
YUKON, OK 73099
Canadian County (405) 267-0617
DR. RYAN L BRACKETT D.D.S
Dentist (Pediatric Dentistry)
1300 CROP CIR
YUKON, OK 73099
Canadian County (405) 354-4545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dental Care, PLLC's NPI number?

The NPI number for Pediatric Dental Care, PLLC is 1033779731. It was assigned to this organization in the NPPES registry on June 17, 2019.

Where is Pediatric Dental Care, PLLC located?

Pediatric Dental Care, PLLC is located at 1300 Crop Cir, Yukon, OK 73099. The listed phone number is (214) 702-0729.

What is Pediatric Dental Care, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Care, PLLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.