SUMMER DENTAL MOORE PLLC
NPI 1578056065
Dentist - General Practice in Moore, OK

Active since June 11, 2018
811 SW 19TH ST STE A, MOORE, OK 73160(405) 703-5161 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summer Dental Moore Pllc NPPES

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

SUMMER DENTAL MOORE PLLC (NPI 1578056065) is a healthcare organization registered as a general practice in Moore, Oklahoma and active in the NPI registry since June 2018. The organization lists Renee Mcbay, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1578056065
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSUMMER DENTAL MOORE PLLC
Location Address811 SW 19TH ST STE AMoore, OK 73160-2890
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 988-0996 · Fax (918) 235-9079
Organization SubpartNo
Authorized OfficialRenee McbayCredentialing Specialist · (918) 998-0996
Enumeration DateJune 11, 2018
NPI 1578056065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
811 SW 19TH ST STE A, Moore, OK 73160

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
811 SW 19TH ST STE A
MOORE, OK 73160
Dentist
811 SW 19TH ST STE A
MOORE, OK 73160
Dentist (General Practice)
811 SW 19TH ST STE A
MOORE, OK 73160

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 Summer Dental Moore PLLC's NPI number?

The NPI number for Summer Dental Moore PLLC is 1578056065. It was assigned to this organization in the NPPES registry on June 11, 2018.

Where is Summer Dental Moore PLLC located?

Summer Dental Moore PLLC is located at 811 SW 19th St Ste A, Moore, OK 73160. The listed phone number is (405) 703-5161.

What is Summer Dental Moore PLLC's specialty?

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

What insurance does Summer Dental Moore 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 list Summer Dental Moore 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 Summer Dental Moore PLLC was last updated on June 11, 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.