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SOUTH PENN PLLC
NPI 1073306098
Dentist - General Practice in Oklahoma City, OK

Active since May 22, 2025
7120 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159(405) 681-6601 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2025, May 22, 2025 (2 updates tracked since 2025).

About South Penn Pllc NPPES

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

SOUTH PENN PLLC (NPI 1073306098) is a healthcare organization registered as a general practice in Oklahoma City, Oklahoma and active in the NPI registry since May 2025. The organization lists Joseph Trevor Berg, Owner, as its authorized official.

NPPES Registry Identity

NPI1073306098
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH PENN PLLC
Location Address7120 S PENNSYLVANIA AVEOklahoma City, OK 73159-3315
Mailing Address7120 S Pennsylvania AveOklahoma City, OK 73159-3315
Phone(405) 681-6601
Organization SubpartNo
Authorized OfficialJoseph Trevor BergOwner · (208) 497-7250
Enumeration DateMay 22, 2025
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1073306098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

7120 S PENNSYLVANIA AVE, Oklahoma City, OK 73159
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

BRK, PLLC
Dentist (General Practice)
7120 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 681-6601
ANH HUYEN BUI DDS
Dentist (General Practice)
7120 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 681-6601
MR. WILLIAM MARTIN KOHS DDS
Dentist
7120 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73159
Oklahoma County (405) 681-6601

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 South Penn PLLC's NPI number?

The NPI number for South Penn PLLC is 1073306098. It was assigned to this organization in the NPPES registry on May 22, 2025.

Where is South Penn PLLC located?

South Penn PLLC is located at 7120 S Pennsylvania Ave, Oklahoma City, OK 73159. The listed phone number is (405) 681-6601.

What is South Penn PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for South Penn PLLC was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.