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ADVANTAGE DENTAL PLUS
NPI 1386412328
Dentist - General Practice in Broken Arrow, OK

Active since December 19, 2023CLIA 37D2301900 · Waiver
2619 S ELM PL, BROKEN ARROW, OK 74012(918) 872-0218(918) 872-0892 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advantage Dental Plus NPPES

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

ADVANTAGE DENTAL PLUS (NPI 1386412328) is a healthcare organization registered as a general practice in Broken Arrow, Oklahoma and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through April 1, 2028, maintains a secondary practice location in Oklahoma City, and lists Sherrie Edmondson, Sr Manager, as its authorized official.

NPPES Registry Identity

NPI1386412328
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANTAGE DENTAL ORAL HEALTH CENTER OF OKLAHOMA, P.C.
Location Address2619 S ELM PLBroken Arrow, OK 74012-7878
Mailing Address63140 Britta St Ste D104Bend, OR 97703-5738 · (629) 999-5014
Phone(918) 872-0218
Fax(918) 872-0892
Organization SubpartYes
Authorized OfficialSherrie EdmondsonSr Manager · (629) 999-5014
Enumeration DateDecember 19, 2023
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1386412328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
2619 S ELM PL, Broken Arrow, OK 74012
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Other Names 1

Doing Business AsAdvantage Dental Plus

Secondary Practice Location 1

Location 11040 NE 36th StOklahoma City, OK 73111-5002 · Phone (405) 967-7742

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2301900

Advantage Dental + Okc · Oklahoma City, OK
Active · expires Apr 1, 2028
CLIA Number37D2301900
Laboratory TypeDental
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorWaleska Flores
Laboratory Phone(405) 967-7742
Laboratory LocationAdvantage Dental + Okc1040 NE 36th St, Oklahoma City, OK 73111
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. BRADLEY RIX WILSON DDS, MSD
Dentist (General Practice)
2619 S ELM PL
BROKEN ARROW, OK 74012
Tulsa County (918) 872-0218
DR. SALLY MARGARET BOCK X DDS
Dentist (General Practice)
2619 S ELM PL
BROKEN ARROW, OK 74012
Tulsa County (918) 872-0218
DR. NATHANIEL GRAY HEINSOHN D.D.S.
Dentist
2619 S ELM PL
BROKEN ARROW, OK 74012
Tulsa County (918) 872-0218
GARY E THEOBALD DMD
Dentist (General Practice)
2619 S ELM PL
BROKEN ARROW, OK 74012
Tulsa County (918) 455-0811
DR. RAY ANAND BEDDOE PHARMD.,D.M.D., M.S.
Dentist (Periodontics)
2619 S ELM PL, SUITE A
BROKEN ARROW, OK 74012
Tulsa County (918) 451-2717
REUSSER AND REUSSER LLC
Dentist (General Practice)
2619 S ELM PL
BROKEN ARROW, OK 74012
Tulsa County (918) 455-0811

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 Advantage Dental Oral Health Center Of Oklahoma, P.C.'s NPI number?

The NPI number for Advantage Dental Oral Health Center Of Oklahoma, P.C. is 1386412328. It was assigned to this organization in the NPPES registry on December 19, 2023. The provider is doing business as Advantage Dental Plus.

Where is Advantage Dental Oral Health Center Of Oklahoma, P.C. located?

Advantage Dental Oral Health Center Of Oklahoma, P.C. is located at 2619 S Elm Pl, Broken Arrow, OK 74012. The listed phone number is (918) 872-0218.

What is Advantage Dental Oral Health Center Of Oklahoma, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Advantage Dental Oral Health Center Of Oklahoma, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2301900) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advantage Dental Oral Health Center Of Oklahoma, P.C. was last updated on March 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.