29TH STREET DENTAL CARE
NPI 1912450842
Dentist - General Practice in Chickasha, OK

Active since July 27, 2016
2900 W GRAND AVE, CHICKASHA, OK 73018(405) 222-0222(405) 222-0210 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 29th Street Dental Care NPPES

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

29TH STREET DENTAL CARE (NPI 1912450842) is a healthcare organization registered as a general practice in Chickasha, Oklahoma and active in the NPI registry since July 2016. The organization lists John C Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1912450842
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name29TH STREET DENTAL CARE
Location Address2900 W GRAND AVEChickasha, OK 73018-5112
Mailing Address2900 W Grand AveChickasha, OK 73018-5112 · (405) 222-0222 · Fax (405) 222-0210
Fax(405) 222-0210
Organization SubpartNo
Authorized OfficialJohn C PhillipsOwner · (405) 222-0222
Enumeration DateJuly 27, 2016
NPI 1912450842 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.
2900 W GRAND AVE, Chickasha, OK 73018

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

Other Providers at the Same Location NPPES 4

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

Dentist
2900 W GRAND AVE
CHICKASHA, OK 73018
Dentist (General Practice)
2900 W GRAND AVE
CHICKASHA, OK 73018
Dentist (General Practice)
2900 W GRAND AVE
CHICKASHA, OK 73018
Dentist
2900 W GRAND AVE
CHICKASHA, OK 73018

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 29th Street Dental Care's NPI number?

The NPI number for 29th Street Dental Care is 1912450842. It was assigned to this organization in the NPPES registry on July 27, 2016.

Where is 29th Street Dental Care located?

29th Street Dental Care is located at 2900 W Grand Ave, Chickasha, OK 73018. The listed phone number is (405) 222-0222.

What is 29th Street Dental Care's specialty?

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

When was this NPI record last updated?

The NPPES record for 29th Street Dental Care was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.