PAYTON KELLER JUDY DMD
NPI 1861325011
Dentist in Shawnee, OK

Active since June 06, 2026
2616 N PARK AVE, SHAWNEE, OK 74804(405) 275-7730 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Payton Keller Judy Dmd NPPES

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

PAYTON KELLER JUDY DMD (NPI 1861325011) is an individual dentist in Shawnee, Oklahoma, licensed in Oklahoma (8232) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1861325011
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePAYTON KELLER JUDYCredential: DMD
Location Address2616 N PARK AVEShawnee, OK 74804-2838
Mailing Address2616 N Park AveShawnee, OK 74804-2838 · (405) 275-7730
Sole ProprietorNo
Enumeration DateJune 6, 2026
NPPES CertifiedJune 6, 2026
NPI 1861325011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OK · 8232
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.

2616 N PARK AVE, Shawnee, OK 74804

Other Providers at the Same Location NPPES 11

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

Dentist (General Practice)
2616 N PARK AVE
SHAWNEE, OK 74804
Dentist (General Practice)
2616 N PARK AVE
SHAWNEE, OK 74804
Dentist (General Practice)
2616 N PARK AVE
SHAWNEE, OK 74804
Dentist (General Practice)
2616 N PARK AVE
SHAWNEE, OK 74804
Dentist (General Practice)
2616 N PARK AVE
SHAWNEE, OK 74804
Dentist
2616 N PARK AVE
SHAWNEE, OK 74804
Dentist
2616 N PARK AVE
SHAWNEE, OK 74804
Dentist (General Practice)
2616 N PARK AVE
SHAWNEE, OK 74804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861325011, enumerated as an "individual" on June 06, 2026.

The provider is located at 2616 N PARK AVE SHAWNEE, OK 74804 and the phone number is (405) 275-7730.

Dentist with taxonomy code 122300000X.