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PEDIATRIC DENTISTRY OF OKLAHOMA
NPI 1629643903
Dentist - Pediatric Dentistry in Oklahoma City, OK

Active since May 20, 2021
3613 NW 56TH ST STE 105, OKLAHOMA CITY, OK 73112(405) 946-2455(405) 946-3445 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dentistry Of Oklahoma NPPES

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

PEDIATRIC DENTISTRY OF OKLAHOMA (NPI 1629643903) is a healthcare organization registered as a pediatric dentistry in Oklahoma City, Oklahoma and active in the NPI registry since May 2021. The organization maintains a secondary practice location in Midwest City and lists Robin S Murphy, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629643903
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF OKLAHOMA
Location Address3613 NW 56TH ST STE 105Oklahoma City, OK 73112-4520
Mailing Address3613 Nw 56th St Ste 105Oklahoma City, OK 73112-4520 · (405) 946-2455 · Fax (405) 946-3445
Phone(405) 946-2455
Fax(405) 946-3445
Organization SubpartNo
Authorized OfficialRobin S MurphyOffice Manager · (405) 946-2455
Enumeration DateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1629643903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
3613 NW 56TH ST STE 105, Oklahoma City, OK 73112
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Secondary Practice Location 1

Location 12828 Parklawn DrMidwest City, OK 73110-4216 · Phone (405) 733-3553 · Fax (405) 733-5002

Other Identifiers 3

Medicaid100122730AOK
Other1720063225Npi
Other1184868960Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SDPOKC, PLLC
Dentist
3613 NW 56TH ST STE 105
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 946-2455

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 Pediatric Dentistry Of Oklahoma's NPI number?

The NPI number for Pediatric Dentistry Of Oklahoma is 1629643903. It was assigned to this organization in the NPPES registry on May 20, 2021.

Where is Pediatric Dentistry Of Oklahoma located?

Pediatric Dentistry Of Oklahoma is located at 3613 NW 56th St Ste 105, Oklahoma City, OK 73112. The listed phone number is (405) 946-2455.

What is Pediatric Dentistry Of Oklahoma'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 Pediatric Dentistry Of Oklahoma was last updated on May 20, 2021. 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.