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DENTAL BOUTIQUE PLLC
NPI 1922643543
Dentist - General Practice in Oklahoma City, OK

Active since November 07, 2019
3621 NW 63RD ST STE C, OKLAHOMA CITY, OK 73116(405) 848-8838(405) 810-0043 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Apr 29, 2022, Nov 7, 2019 (3 updates tracked since 2019).

About Dental Boutique Pllc NPPES

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

DENTAL BOUTIQUE PLLC (NPI 1922643543) is a healthcare organization registered as a general practice in Oklahoma City, Oklahoma and active in the NPI registry since November 2019. The organization lists Kameliya Chervilov, Owner, as its authorized official.

NPPES Registry Identity

NPI1922643543
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL BOUTIQUE PLLC
Location Address3621 NW 63RD ST STE COklahoma City, OK 73116-2041
Mailing Address3621 Nw 63rd St Ste COklahoma City, OK 73116-2041 · (405) 848-8838
Phone(405) 848-8838
Fax(405) 810-0043
Organization SubpartNo
Authorized OfficialKameliya ChervilovOwner · (405) 848-8838
Enumeration DateNovember 7, 2019
Last NPPES UpdateDecember 8, 20223 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
✔ NPI 1922643543 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.
3621 NW 63RD ST STE C, Oklahoma City, OK 73116
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KAMELIYA CHERVILOV DDS
Dentist
3621 NW 63RD ST STE C
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 848-8838
SLEEP WELL OKLAHOMA LLC
Dentist (Dental Public Health)
3621 NW 63RD ST STE C
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 848-8839

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 Dental Boutique PLLC's NPI number?

The NPI number for Dental Boutique PLLC is 1922643543. It was assigned to this organization in the NPPES registry on November 7, 2019.

Where is Dental Boutique PLLC located?

Dental Boutique PLLC is located at 3621 NW 63rd St Ste C, Oklahoma City, OK 73116. The listed phone number is (405) 848-8838.

What is Dental Boutique PLLC'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 Dental Boutique PLLC was last updated on December 8, 2022. 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.