NICOMA PARK DENTAL PLLC
NPI 1518452952
Clinic/Center - Dental in Oklahoma City, OK

Q: What is Nicoma Park Dental PLLC's NPI number?

The NPI number for Nicoma Park Dental PLLC is 1518452952. It was assigned to this organization in the NPPES registry on June 27, 2018.

Q: What is Nicoma Park Dental PLLC's specialty?

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

Active since June 27, 2018

10420 NE 23RD ST, OKLAHOMA CITY, OK 73141(405) 603-8520 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicoma Park Dental Pllc NPPES

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

NICOMA PARK DENTAL PLLC (NPI 1518452952) is a healthcare organization registered as a dental in Oklahoma City, Oklahoma and active in the NPI registry since June 2018. The organization lists Jason Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1518452952

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameNICOMA PARK DENTAL PLLC

Location Address10420 NE 23RD STOklahoma City, OK 73141-5216

Mailing Address3801 N Bryan AveBethany, OK 73008-3001 · (405) 413-7466

Phone(405) 603-8520

Organization SubpartNo

Authorized OfficialJason WallaceOwner · (405) 413-7466

Enumeration DateJune 27, 2018

✔ NPI 1518452952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

10420 NE 23RD ST, Oklahoma City, OK 73141

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. EDWARD K LORENTS D.D.S.

Dentist (General Practice)

10420 NE 23RD ST
OKLAHOMA CITY, OK 73141

Oklahoma County (405) 361-8431

EDWARD K LORENTS DDS PLLC

Dentist (General Practice)

10420 NE 23RD ST
OKLAHOMA CITY, OK 73141

Oklahoma County (405) 769-3373

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 Nicoma Park Dental PLLC's NPI number?

The NPI number for Nicoma Park Dental PLLC is 1518452952. It was assigned to this organization in the NPPES registry on June 27, 2018.

Where is Nicoma Park Dental PLLC located?

Nicoma Park Dental PLLC is located at 10420 NE 23rd St, Oklahoma City, OK 73141. The listed phone number is (405) 603-8520.

What is Nicoma Park Dental PLLC's specialty?

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

What insurance does Nicoma Park Dental PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Nicoma Park Dental PLLC 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 Nicoma Park Dental PLLC was last updated on June 27, 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.