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: July 19, 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
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

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

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
7715 E 91ST ST STE A
TULSA, OK 74133
Optometrist
7715 E 91ST ST STE A
TULSA, OK 74133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760864235, enumerated as an "organization" on June 22, 2015.

The provider is located at 7715 E 91ST ST STE A TULSA, OK 74133 and the phone number is (918) 585-3744.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.