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EAGLE CREEK FAMILY DENTISTRY PLLC
NPI 1306331194
Clinic/Center - Dental in Oklahoma City, OK

Active since June 25, 2018
4320 MCAULEY BLVD, OKLAHOMA CITY, OK 73120(405) 622-5612 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eagle Creek Family Dentistry Pllc NPPES

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

EAGLE CREEK FAMILY DENTISTRY PLLC (NPI 1306331194) is a healthcare organization registered as a dental in Oklahoma City, Oklahoma and active in the NPI registry since June 2018. The organization lists Toni White, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1306331194
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEAGLE CREEK FAMILY DENTISTRY PLLC
Location Address4320 MCAULEY BLVDOklahoma City, OK 73120-8386
Mailing Address775 W Covell Rd Ste 160Edmond, OK 73003-2302 · (405) 844-6333
Phone(405) 622-5612
Organization SubpartNo
Authorized OfficialToni WhiteInsurance Coordinator · (405) 844-6333
Enumeration DateJune 25, 2018
✔ NPI 1306331194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4320 MCAULEY BLVD, Oklahoma City, OK 73120
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Other Providers at the Same Location NPPES 13

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

JENNIFER LYNNE WALKER DDS
Dentist
4320 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 622-5612
DR. SHELBY NELL STEFFENHAGEN DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
4320 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 618-2525
DR. BRENT WARREN MOODY D.D.S.
Dentist (Pediatric Dentistry)
4320 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-8020
BRENT W. MOODY D.D.S., PC
Dentist (Pediatric Dentistry)
4320 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-8020
DR. VERNON MATTHEW HEIM D.D.S.,M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
4320 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-8151
ROBERT B. BRYAN II, DDS, PLLC
Dentist (Oral and Maxillofacial Surgery)
4320 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-4826
SOMER R. HEIM, DDS, PLLC
Dentist (Pediatric Dentistry)
4320 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-8020
DR. JEREMY CLARK GOODSON D.D.S.
Dentist
4320 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-4826

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 Eagle Creek Family Dentistry PLLC's NPI number?

The NPI number for Eagle Creek Family Dentistry PLLC is 1306331194. It was assigned to this organization in the NPPES registry on June 25, 2018.

Where is Eagle Creek Family Dentistry PLLC located?

Eagle Creek Family Dentistry PLLC is located at 4320 Mcauley Blvd, Oklahoma City, OK 73120. The listed phone number is (405) 622-5612.

What is Eagle Creek Family Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Eagle Creek Family Dentistry PLLC was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.