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SOUTHWEST PEDIATRIC DENTAL ASSOCIATES, PLLC
NPI 1366568438
Dentist - Pediatric Dentistry in Oklahoma City, OK

Active since March 21, 2007
809 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139(405) 616-7336(405) 616-5756 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southwest Pediatric Dental Associates, Pllc NPPES

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

SOUTHWEST PEDIATRIC DENTAL ASSOCIATES, PLLC (NPI 1366568438) is a healthcare organization registered as a pediatric dentistry in Oklahoma City, Oklahoma and active in the NPI registry since March 2007. The organization lists Theresa M. White, Manager, as its authorized official.

NPPES Registry Identity

NPI1366568438
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTHWEST PEDIATRIC DENTAL ASSOCIATES, PLLC
Location Address809 SW 89TH ST, SUITE AOklahoma City, OK 73139-9300
Mailing Address809 Sw 89th St, Suite AOklahoma City, OK 73139-9300 · (405) 616-7336 · Fax (405) 616-5756
Phone(405) 616-7336
Fax(405) 616-5756
Organization SubpartNo
Authorized OfficialTheresa M. WhiteManager · (405) 616-7336
Enumeration DateMarch 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366568438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OK · 4636
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
809 SW 89TH ST, Oklahoma City, OK 73139
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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

Other Providers at the Same Location NPPES 6

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

DAVID LAMAR BRADSHAW D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
809 SW 89TH ST, STE. C
OKLAHOMA CITY, OK 73139
Cleveland County (405) 635-8378
BRIAN KENNETH LEPLEY DO
Pediatrics
809 SW 89TH ST, STE B
OKLAHOMA CITY, OK 73139
Cleveland County (405) 631-4000
LUCINDA GAIL LEPLEY MS ARNP
Nurse Practitioner (Family)
809 SW 89TH ST, STE B
OKLAHOMA CITY, OK 73139
Cleveland County (405) 631-4000
DR. THERESA M. WHITE DDS
Dentist (Pediatric Dentistry)
809 SW 89TH ST, SUITE A
OKLAHOMA CITY, OK 73139
Cleveland County (405) 616-7336
LEPLEY PEDIATRICS
Pediatrics
809 SW 89TH ST, STE. B
OKLAHOMA CITY, OK 73139
Cleveland County (405) 631-4000
SHIRLEY WILLIAMS
Behavior Technician
809 SW 89TH ST, SUITE C
OKLAHOMA CITY, OK 73139
Cleveland County (405) 634-1497

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 Southwest Pediatric Dental Associates, PLLC's NPI number?

The NPI number for Southwest Pediatric Dental Associates, PLLC is 1366568438. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Southwest Pediatric Dental Associates, PLLC located?

Southwest Pediatric Dental Associates, PLLC is located at 809 SW 89th St Suite A, Oklahoma City, OK 73139. The listed phone number is (405) 616-7336.

What is Southwest Pediatric Dental Associates, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Southwest Pediatric Dental Associates, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.