ACE LOGO
NPI 1669097804
Dentist - General Practice in Enid, OK
About Ace Logo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACE LOGO (NPI 1669097804) is an individual general practice provider in Enid, Oklahoma, licensed in Oklahoma (7292) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Midwestern University College Of Dental Medicine, Glendale (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ace Logo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ace Logo's NPI number?
The NPI number for Ace Logo is 1669097804. It was assigned to this individual provider in the NPPES registry on June 13, 2020.
Where is Ace Logo located?
Ace Logo practices at 402 S Oakwood Rd Ste D, Enid, OK 73703. The listed phone number is (580) 242-5862.
What is Ace Logo's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Ace Logo enrolled in Medicare?
Yes. Ace Logo is registered in the Medicare PECOS enrollment system.
What insurance does Ace Logo accept?
Health plans from Anthem Blue Cross and Blue Shield list Ace Logo 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 Ace Logo was last updated on June 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ace Logo · NPI 1669097804
General Practice provider in Enid, Oklahoma. Individual provider, active in the CMS NPPES registry since June 13, 2020.
## Identity
- **NPI:** 1669097804 (Entity type: Individual)
- **Enumerated:** June 13, 2020
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 7292 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 402 S OAKWOOD RD STE D, Enid, OK 73703-4945
- **Phone:** (580) 242-5862
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Midwestern University College Of Dental Medicine, Glendale, class of 2020
## Record status
- **NPPES last updated:** June 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1669097804) · Data from the CMS NPPES public registry.