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CUSTOM DENTAL SOUTH OKLAHOMA CITY
NPI 1740653930
Dentist in Oklahoma City, OK

Active since November 10, 2015
6800 S WESTERN AVE, OKLAHOMA CITY, OK 73139(405) 631-7571 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Custom Dental South Oklahoma City NPPES

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

CUSTOM DENTAL SOUTH OKLAHOMA CITY (NPI 1740653930) is a healthcare organization registered as a dentist in Oklahoma City, Oklahoma and active in the NPI registry since November 2015. The organization lists Carson Louis Nail, Dentist, as its authorized official.

NPPES Registry Identity

NPI1740653930
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCUSTOM DENTAL SOUTH OKLAHOMA CITY
Location Address6800 S WESTERN AVEOklahoma City, OK 73139-1809
Mailing Address6800 S Western AveOklahoma City, OK 73139-1809 · (405) 631-7571
Phone(405) 631-7571
Organization SubpartNo
Authorized OfficialCarson Louis NailDentist · (405) 631-7571
Enumeration DateNovember 10, 2015
✔ NPI 1740653930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 6745
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.
6800 S WESTERN AVE, Oklahoma City, OK 73139
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Other Identifiers 1

Medicaid200592780AOK

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

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.

GAVIN BIGGS
Dentist (General Practice)
6800 S WESTERN AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 631-7571
JENNIFER M. JENKINS, DDS, PC
Preferred Provider Organization
6800 S WESTERN AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 631-7571
CHARLES GUTHRIE III DDS INC
Dentist (General Practice)
6800 S WESTERN AVE
OKLAHOMA CITY, OK 73139
Cleveland County (405) 631-3689

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 South Oklahoma City's NPI number?

The NPI number for Custom Dental South Oklahoma City is 1740653930. It was assigned to this organization in the NPPES registry on November 10, 2015.

Where is Custom Dental South Oklahoma City located?

Custom Dental South Oklahoma City is located at 6800 S Western Ave, Oklahoma City, OK 73139. The listed phone number is (405) 631-7571.

What is Custom Dental South Oklahoma City's specialty?

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

When was this NPI record last updated?

The NPPES record for Custom Dental South Oklahoma City was last updated on November 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.