CUSTOM DENTAL OF OTTAWA, PA
NPI 1508419938
Clinic/Center - Dental in Ottawa, KS

Q: What is Custom Dental Of Ottawa, PA's NPI number?

The NPI number for Custom Dental Of Ottawa, PA is 1508419938. It was assigned to this organization in the NPPES registry on July 24, 2019.

Q: What is Custom Dental Of Ottawa, PA's specialty?

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

Active since July 24, 2019

2030 S PRINCETON ST, OTTAWA, KS 66067(785) 521-3737 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2021, Jul 24, 2019 (2 updates tracked since 2019).

On this page

About Custom Dental Of Ottawa, Pa NPPES

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

CUSTOM DENTAL OF OTTAWA, PA (NPI 1508419938) is a healthcare organization registered as a dental in Ottawa, Kansas and active in the NPI registry since July 2019. The organization lists Rene Rodgers, Coo, as its authorized official.

NPPES Registry Identity

NPI1508419938

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCUSTOM DENTAL OF OTTAWA, PA

Location Address2030 S PRINCETON STOttawa, KS 66067

Mailing Address2030 S Princeton StOttawa, KS 66067 · (785) 521-3737

Phone(785) 521-3737

Organization SubpartNo

Authorized OfficialRene RodgersCoo · (405) 227-6100

Enumeration DateJuly 24, 2019

Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2021

✔ NPI 1508419938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

2030 S PRINCETON ST, Ottawa, KS 66067

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

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 Custom Dental Of Ottawa, PA's NPI number?

The NPI number for Custom Dental Of Ottawa, PA is 1508419938. It was assigned to this organization in the NPPES registry on July 24, 2019.

Where is Custom Dental Of Ottawa, PA located?

Custom Dental Of Ottawa, PA is located at 2030 S Princeton St, Ottawa, KS 66067. The listed phone number is (785) 521-3737.

What is Custom Dental Of Ottawa, PA's specialty?

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

What insurance does Custom Dental Of Ottawa, PA accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Custom Dental Of Ottawa, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Custom Dental Of Ottawa, PA was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.