HERITAGE DENTAL GROUP LLC
NPI 1881139319
Dentist - General Practice in Norman, OK
About Heritage Dental Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERITAGE DENTAL GROUP LLC (NPI 1881139319) is a healthcare organization registered as a general practice in Norman, Oklahoma and active in the NPI registry since December 2016. The organization lists Elie E. Abou-nassar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heritage Dental Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Heritage Dental Group LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Heritage Dental Group LLC's NPI number?
The NPI number for Heritage Dental Group LLC is 1881139319. It was assigned to this organization in the NPPES registry on December 19, 2016.
Where is Heritage Dental Group LLC located?
Heritage Dental Group LLC is located at 3600 W Tecumseh Rd, Norman, OK 73072. The listed phone number is (405) 310-3111.
What is Heritage Dental Group LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Heritage Dental Group LLC enrolled in Medicare?
Yes. Heritage Dental Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heritage Dental Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Heritage Dental Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Heritage Dental Group LLC was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Heritage Dental Group Llc · NPI 1881139319
General Practice organization in Norman, Oklahoma. Organization record, active in the CMS NPPES registry since December 19, 2016.
## Identity
- **NPI:** 1881139319 (Entity type: Organization)
- **Enumerated:** December 19, 2016
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Elie Abou-Nassar, OWNER
## Practice location
- **Address:** 3600 W TECUMSEH RD, Norman, OK 73072
- **Phone:** (405) 310-3111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881139319) · Data from the CMS NPPES public registry.