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PEDIATRIC DENTAL GROUP II, LLC
NPI 1760864235
Dentist - Pediatric Dentistry in Tulsa, OK

Active since June 22, 2015
7715 E 91ST ST STE A, TULSA, OK 74133(918) 585-3744 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2020, Aug 13, 2019 (2 updates tracked since 2019).

About Pediatric Dental Group Ii, Llc NPPES

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

PEDIATRIC DENTAL GROUP II, LLC (NPI 1760864235) is a healthcare organization registered as a pediatric dentistry in Tulsa, Oklahoma and active in the NPI registry since June 2015. The organization maintains a secondary practice location in Midwest City and lists Shaun Urbanozo, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1760864235
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL GROUP II, LLC
Location Address7715 E 91ST ST STE ATulsa, OK 74133-6060
Mailing Address2221 E Bijou St Ste 100Colorado Springs, CO 80909-8009 · (719) 576-1850 · Fax (719) 955-3470
Phone(918) 585-3744
Organization SubpartNo
Authorized OfficialShaun UrbanozoCredentialing Manager · (719) 323-2362
Enumeration DateJune 22, 2015
Last NPPES UpdateMarch 30, 20202 updates tracked since enumeration
NPPES CertifiedMarch 30, 2020
✔ NPI 1760864235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OK · 32
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.
7715 E 91ST ST STE A, Tulsa, OK 74133
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Other Names 1

Doing Business AsPediatric Dental Group Ii, Llc

Secondary Practice Location 1

Location 11200 S Air Depot BlvdMidwest City, OK 73110-4866 · Phone (918) 585-3744 · Fax (918) 585-3774

Other Identifiers 1

Other3942OK · Ok Dental License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

HERO DENTAL OF OKLAHOMA PC
Dentist (General Practice)
7715 E 91ST ST STE A
TULSA, OK 74133
Tulsa County (918) 872-7009
LAURIE LOVES EYES PLLC
Optometrist
7715 E 91ST ST STE A
TULSA, OK 74133
Tulsa County (918) 872-1009

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 Dental Group II, LLC's NPI number?

The NPI number for Pediatric Dental Group II, LLC is 1760864235. It was assigned to this organization in the NPPES registry on June 22, 2015.

Where is Pediatric Dental Group II, LLC located?

Pediatric Dental Group II, LLC is located at 7715 E 91st St Ste A, Tulsa, OK 74133. The listed phone number is (918) 585-3744.

What is Pediatric Dental Group II, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Pediatric Dental Group II, LLC accept?

Health plans from UnitedHealthcare list Pediatric Dental Group II, LLC 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 Pediatric Dental Group II, LLC was last updated on March 30, 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.