1. Home
  2. Directory
  3. Oklahoma
  4. Bethany
  5. Dentist
  6. NPI Profile

DENTAL SQUARE
NPI 1164979076
Dentist - General Practice in Bethany, OK

Active since September 08, 2016
6301 NW 23RD ST, BETHANY, OK 73008(405) 495-2402(405) 495-1325 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dental Square NPPES

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

DENTAL SQUARE (NPI 1164979076) is a healthcare organization registered as a general practice in Bethany, Oklahoma and active in the NPI registry since September 2016. The organization lists Anusha Koneru, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164979076
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL SQUARE LLC
Location Address6301 NW 23RD STBethany, OK 73008-5931
Mailing Address6301 Nw 23rd StBethany, OK 73008-5931 · (405) 495-2402 · Fax (405) 495-1325
Phone(405) 495-2402
Fax(405) 495-1325
Organization SubpartNo
Authorized OfficialAnusha KoneruCeo · (405) 495-2402
Enumeration DateSeptember 8, 2016
✔ NPI 1164979076 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 · 6727
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.
6301 NW 23RD ST, Bethany, OK 73008
Open in Google Maps ↗

Other Names 1

Doing Business AsDental Square

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 5

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

BETHANY DENTAL GROUP PLLC
Dentist
6301 NW 23RD ST
BETHANY, OK 73008
Oklahoma County (405) 474-6362
MEHREEN KHAN DDS
Dentist (General Practice)
6301 NW 23RD ST
BETHANY, OK 73008
Oklahoma County (405) 495-2402
DR. BRANDON JOSEPH COHLMIA DDS
Dentist (General Practice)
6301 NW 23RD ST
BETHANY, OK 73008
Oklahoma County (405) 495-2402
SKYLAR FOGERTY DDS
Dentist
6301 NW 23RD ST
BETHANY, OK 73008
Oklahoma County (405) 495-2402
CAMERON J CLIFFORD
Dentist (General Practice)
6301 NW 23RD ST
BETHANY, OK 73008
Oklahoma County (405) 495-2402

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 Dental Square LLC's NPI number?

The NPI number for Dental Square LLC is 1164979076. It was assigned to this organization in the NPPES registry on September 8, 2016. The provider is doing business as Dental Square.

Where is Dental Square LLC located?

Dental Square LLC is located at 6301 NW 23rd St, Bethany, OK 73008. The listed phone number is (405) 495-2402.

What is Dental Square LLC'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 Dental Square LLC was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.