CUSTOM DENTAL OF OWASSO, PLLC
NPI 1659689248
Dentist in Owasso, OK

Q: What is Custom Dental Of Owasso, PLLC's NPI number?

The NPI number for Custom Dental Of Owasso, PLLC is 1659689248. It was assigned to this organization in the NPPES registry on September 17, 2010.

Q: What is Custom Dental Of Owasso, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since September 17, 2010

11501 N. 135TH EAST AVE, OWASSO, OK 74055(918) 371-7645(918) 371-7272 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Custom Dental Of Owasso, Pllc NPPES

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

CUSTOM DENTAL OF OWASSO, PLLC (NPI 1659689248) is a healthcare organization registered as a dentist in Owasso, Oklahoma and active in the NPI registry since September 2010. The organization lists Ron Campbell, Dentist, as its authorized official.

NPPES Registry Identity

NPI1659689248

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCUSTOM DENTAL OF OWASSO, PLLC

Location Address11501 N. 135TH EAST AVEOwasso, OK 74055

Mailing Address2001 S Division StGuthrie, OK 73044-6063 · (405) 282-6440 · Fax (405) 282-6785

Phone(918) 371-7645

Fax(918) 371-7272

Organization SubpartNo

Authorized OfficialRon CampbellDentist · (918) 371-7645

Enumeration DateSeptember 17, 2010

✔ NPI 1659689248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OK · 6099

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

11501 N. 135TH EAST AVE, Owasso, OK 74055

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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

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 ›

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 Owasso, PLLC's NPI number?

The NPI number for Custom Dental Of Owasso, PLLC is 1659689248. It was assigned to this organization in the NPPES registry on September 17, 2010.

Where is Custom Dental Of Owasso, PLLC located?

Custom Dental Of Owasso, PLLC is located at 11501 N. 135th East Ave, Owasso, OK 74055. The listed phone number is (918) 371-7645.

What is Custom Dental Of Owasso, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Custom Dental Of Owasso, 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 Custom Dental Of Owasso, 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 Custom Dental Of Owasso, PLLC was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.