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RICHARD FENTEM JR. DDS
NPI 1144256215
Dentist - General Practice in Midwest City, OK

Active since June 23, 2006PECOS Enrolled
304 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110(405) 733-0002(405) 741-2230 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Fentem Jr. Dds NPPES

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

RICHARD FENTEM JR. DDS (NPI 1144256215) is an individual general practice provider in Midwest City, Oklahoma, licensed in Oklahoma (4410) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144256215
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRICHARD FENTEM JR.Credential: DDS
Location Address304 S AIR DEPOT BLVDMidwest City, OK 73110-4433
Mailing Address304 S Air Depot BlvdMidwest City, OK 73110-4433 · (405) 733-0002 · Fax (405) 741-2230
Phone(405) 733-0002
Fax(405) 741-2230
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateJanuary 14, 2014
✔ NPI 1144256215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 4410
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.
304 S AIR DEPOT BLVD, Midwest City, OK 73110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Fentem Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

RONALD MONTGOMERY DENTAL GROUP, PC
Dentist (General Practice)
304 S AIR DEPOT BLVD
MIDWEST CITY, OK 73110
Oklahoma County (405) 733-0002
DIDI HUI
Dentist (General Practice)
304 S AIR DEPOT BLVD
MIDWEST CITY, OK 73110
Oklahoma County (405) 689-5069
DR. SOICHCHHA BANIYA DDS
Dentist (General Practice)
304 S AIR DEPOT BLVD
MIDWEST CITY, OK 73110
Oklahoma County (405) 689-5069
THOMAS BASEY DDS
Dentist
304 S AIR DEPOT BLVD
MIDWEST CITY, OK 73110
Oklahoma County (405) 733-0002
JORGE MADAMBA DDS
Dentist
304 S AIR DEPOT BLVD
MIDWEST CITY, OK 73110
Oklahoma County (405) 733-0002

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 Richard Fentem's NPI number?

The NPI number for Richard Fentem is 1144256215. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Richard Fentem located?

Richard Fentem practices at 304 S Air Depot Blvd, Midwest City, OK 73110. The listed phone number is (405) 733-0002.

What is Richard Fentem's specialty?

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

Is Richard Fentem enrolled in Medicare?

Yes. Richard Fentem is registered in the Medicare PECOS enrollment system.

What insurance does Richard Fentem accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 11 other insurers list Richard Fentem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Fentem was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.