LAKE COUNTRY ORTHODONTICS
NPI 1962013813
Dentist - Orthodontics and Dentofacial Orthopedics in Ardmore, OK

Active since August 13, 2020
1119 WALNUT DR STE 4, ARDMORE, OK 73401(580) 226-2331(580) 226-8776 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Country Orthodontics NPPES

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

LAKE COUNTRY ORTHODONTICS (NPI 1962013813), doing business as Stretesky Orthodontics, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Ardmore, Oklahoma and active in the NPI registry since August 2020. The organization lists Lori A Miller, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962013813
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameLAKE COUNTRY ORTHODONTICS
Location Address1119 WALNUT DR STE 4Ardmore, OK 73401-2360
Mailing Address1119 Walnut Dr Ste 4Ardmore, OK 73401-2360 · (580) 226-2331 · Fax (580) 226-8776
Fax(580) 226-8776
Organization SubpartNo
Authorized OfficialLori A MillerOffice Manager · (580) 226-2331
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
NPI 1962013813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1119 WALNUT DR STE 4, Ardmore, OK 73401

Other Names 1

Doing Business AsStretesky Orthodontics

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

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 Lake Country Orthodontics's NPI number?

The NPI number for Lake Country Orthodontics is 1962013813. It was assigned to this organization in the NPPES registry on August 13, 2020. The provider is doing business as Stretesky Orthodontics.

Where is Lake Country Orthodontics located?

Lake Country Orthodontics is located at 1119 Walnut Dr Ste 4, Ardmore, OK 73401. The listed phone number is (580) 226-2331.

What is Lake Country Orthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Lake Country Orthodontics was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.