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MUSKOGEE PEDIATRIC DENTAL PLLC
NPI 1265198410
Dentist in Muskogee, OK

Active since November 11, 2021
930 W SHAWNEE ST, MUSKOGEE, OK 74401(918) 998-0996 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Muskogee Pediatric Dental Pllc NPPES

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

MUSKOGEE PEDIATRIC DENTAL PLLC (NPI 1265198410) is a healthcare organization registered as a dentist in Muskogee, Oklahoma and active in the NPI registry since November 2021. The organization lists Anne Demmy, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1265198410
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMUSKOGEE PEDIATRIC DENTAL PLLC
Location Address930 W SHAWNEE STMuskogee, OK 74401-3511
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996
Phone(918) 998-0996
Organization SubpartNo
Authorized OfficialAnne DemmyCredentialing Specialist · (918) 998-0996
Enumeration DateNovember 11, 2021
NPPES CertifiedNovember 11, 2021
✔ NPI 1265198410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
930 W SHAWNEE ST, Muskogee, OK 74401
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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

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 ›

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 Muskogee Pediatric Dental PLLC's NPI number?

The NPI number for Muskogee Pediatric Dental PLLC is 1265198410. It was assigned to this organization in the NPPES registry on November 11, 2021.

Where is Muskogee Pediatric Dental PLLC located?

Muskogee Pediatric Dental PLLC is located at 930 W Shawnee St, Muskogee, OK 74401. The listed phone number is (918) 998-0996.

What is Muskogee Pediatric Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Muskogee Pediatric Dental PLLC 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 1 other insurer list Muskogee Pediatric Dental PLLC 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 Muskogee Pediatric Dental PLLC was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.