COURTNEY PENDERGRAFT RDH
NPI 1285529669
Dental Hygienist in Tahlequah, OK

Active since June 09, 2025
19600 E ROSS ST, TAHLEQUAH, OK 74464(539) 234-2800 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Pendergraft Rdh NPPES

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

COURTNEY PENDERGRAFT RDH (NPI 1285529669) is an individual dental hygienist in Tahlequah, Oklahoma, licensed in Oklahoma (3602) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1285529669
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameCOURTNEY PENDERGRAFTCredential: RDH
Location Address19600 E ROSS STTahlequah, OK 74464-0545
Mailing Address4430 Highway 412Rose, OK 74364-1677
Sole ProprietorNo
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1285529669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in OK · 3602
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
19600 E ROSS ST, Tahlequah, OK 74464

Other Providers at the Same Location NPPES 20

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

Physician Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
19600 E ROSS ST
TAHLEQUAH, OK 74464
Podiatrist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Occupational Therapy Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Dentist (General Practice)
19600 E ROSS ST
TAHLEQUAH, OK 74464
Nurse Practitioner
19600 E ROSS ST
TAHLEQUAH, OK 74464
Pharmacist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Peer Specialist
19600 E ROSS ST
TAHLEQUAH, OK 74464

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 Courtney Pendergraft's NPI number?

The NPI number for Courtney Pendergraft is 1285529669. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Courtney Pendergraft located?

Courtney Pendergraft practices at 19600 E Ross St, Tahlequah, OK 74464. The listed phone number is (539) 234-2800.

What is Courtney Pendergraft's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Courtney Pendergraft was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.