IDEAL DENTAL NORTHWEST OKLAHOMA CITY
NPI 1366337966
Dentist in Oklahoma City, OK

Active since June 12, 2025
3629 NW 178TH STREET, STE D, OKLAHOMA CITY, OK 73012(972) 361-0600 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ideal Dental Northwest Oklahoma City NPPES

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

IDEAL DENTAL NORTHWEST OKLAHOMA CITY (NPI 1366337966) is a healthcare organization registered as a dentist in Oklahoma City, Oklahoma and active in the NPI registry since June 2025. The organization lists Carol Canava, Vp Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1366337966
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIDEAL DENTAL NORTHWEST OKLAHOMA CITY
Location Address3629 NW 178TH STREET, STE DOklahoma City, OK 73012
Mailing Address12750 Merit Dr Ste 1100Dallas, TX 75251-1302
Organization SubpartNo
Authorized OfficialCarol CanavaVp Revenue Cycle · (972) 331-8079
Enumeration DateJune 12, 2025
NPPES CertifiedMay 27, 2025
NPI 1366337966 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.
3629 NW 178TH STREET, Oklahoma City, OK 73012

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ideal Dental Northwest Oklahoma City's NPI number?

The NPI number for Ideal Dental Northwest Oklahoma City is 1366337966. It was assigned to this organization in the NPPES registry on June 12, 2025.

Where is Ideal Dental Northwest Oklahoma City located?

Ideal Dental Northwest Oklahoma City is located at 3629 NW 178th Street Ste D, Oklahoma City, OK 73012. The listed phone number is (972) 361-0600.

What is Ideal Dental Northwest Oklahoma City's specialty?

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

When was this NPI record last updated?

The NPPES record for Ideal Dental Northwest Oklahoma City was last updated on June 12, 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.