OU COLLEGE OF DENTISTRY
NPI 1639552359
Dentist - Orthodontics and Dentofacial Orthopedics in Oklahoma City, OK

Active since June 30, 2015CLIA 37D0856444 · Certificate of Compliance
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117(405) 271-4148 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ou College Of Dentistry NPPES

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

OU COLLEGE OF DENTISTRY (NPI 1639552359) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Oklahoma City, Oklahoma and active in the NPI registry since June 2015. The organization holds a CLIA Certificate of Compliance certificate valid through February 18, 2027 and lists Tyler Holt, Gra, as its authorized official.

NPPES Registry Identity

NPI1639552359
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameOU COLLEGE OF DENTISTRY
Location Address1201 N STONEWALL AVEOklahoma City, OK 73117-1214
Mailing Address1201 N Stonewall AveOklahoma City, OK 73117-1214
Organization SubpartNo
Authorized OfficialTyler HoltGra · (405) 271-4148
Enumeration DateJune 30, 2015
NPI 1639552359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in OK · 6591
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

1201 N STONEWALL AVE, Oklahoma City, OK 73117

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 SINGLE 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 Compliance 37D0856444

Ou Oral Pathology Laboratory Board Of Regents Of The University Of Oklahoma · Oklahoma City, OK
Active · expires Feb 18, 2027
CLIA Number37D0856444
Laboratory TypeIndependent
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorRonald C. Faram
Laboratory Phone(405) 271-4333
Laboratory LocationOu Oral Pathology Laboratory Board Of Regents Of The University Of Oklahoma1201 N Stonewall Avenue, #280, Oklahoma City, OK 73117
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (General Practice)
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (Prosthodontics)
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117
Dentist (General Practice)
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117
Dentist
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117
Dentist (Periodontics)
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117
Dentist (Orthodontics and Dentofacial Orthopedics)
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117
Dentist (Pediatric Dentistry)
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639552359, enumerated as an "organization" on June 30, 2015.

The provider is located at 1201 N STONEWALL AVE OKLAHOMA CITY, OK 73117 and the phone number is (405) 271-4148.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.