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NORTH LAKE DENTAL PLLC
NPI 1891472304
Dentist - General Practice in Oklahoma City, OK

Active since June 28, 2023
12200 N MACARTHUR BLVD STE 1, OKLAHOMA CITY, OK 73162(918) 998-0996 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Lake Dental Pllc NPPES

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

NORTH LAKE DENTAL PLLC (NPI 1891472304) is a healthcare organization registered as a general practice in Oklahoma City, Oklahoma and active in the NPI registry since June 2023. The organization lists Candice Schumann, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1891472304
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTH LAKE DENTAL PLLC
Location Address12200 N MACARTHUR BLVD STE 1Oklahoma City, OK 73162-1849
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996
Phone(918) 998-0996
Organization SubpartNo
Authorized OfficialCandice SchumannCredentialing Specialist · (918) 998-0996
Enumeration DateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1891472304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12200 N MACARTHUR BLVD STE 1, Oklahoma City, OK 73162
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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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES

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

TYSON GALBRAITH DMD
Dentist (General Practice)
12200 N MACARTHUR BLVD STE 1
OKLAHOMA CITY, OK 73162
Oklahoma County (405) 656-7067

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 North Lake Dental PLLC's NPI number?

The NPI number for North Lake Dental PLLC is 1891472304. It was assigned to this organization in the NPPES registry on June 28, 2023.

Where is North Lake Dental PLLC located?

North Lake Dental PLLC is located at 12200 N Macarthur Blvd Ste 1, Oklahoma City, OK 73162. The listed phone number is (918) 998-0996.

What is North Lake Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does North Lake Dental PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list North Lake Dental PLLC 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 North Lake Dental PLLC was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.