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ECLIPSE SMILES, PLLC
NPI 1932835725
Clinic/Center - Dental in Glenpool, OK

Active since July 25, 2022
12190 S WACO AVE STE B, GLENPOOL, OK 74033(918) 943-0282 Get Directions Write a Review

NPPES record last updated: September 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 8, 2024, Jul 25, 2022 (2 updates tracked since 2022).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About ECLIPSE SMILES, PLLC

This page provides the complete NPI Profile along with additional information for Eclipse Smiles, Pllc, a provider established in Glenpool, Oklahoma operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1932835725 assigned on July 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Christian Andrus Dmd (Owner)

NPI
1932835725 Verify this NPI
Provider Name
ECLIPSE SMILES, PLLC
Entity Type
Organization
Location Address
12190 S WACO AVE STE B GLENPOOL, OK 74033
Location Phone
(918) 943-0282
Mailing Address
14001 S JOPLIN AVE BIXBY, OK 74008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2022
Last Update Date
09-08-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHRISTIAN ANDRUS DMD

Authorized Official Title
OWNER
Authorized Official Phone
(918) 943-0282

Reviews for ECLIPSE SMILES, PLLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. CHRISTIAN ANDRUS DMD
Dentist (General Practice)
12190 S WACO AVE STE B
GLENPOOL, OK 74033
Tulsa County (951) 533-0163

Frequently Asked Questions

What is ECLIPSE SMILES, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1932835725, enumerated as an "organization" on July 25, 2022.

Where is the provider located?

The provider is located at 12190 S WACO AVE STE B GLENPOOL, OK 74033 and the phone number is (918) 943-0282.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.