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LAKECREST OWASSO
NPI 1972151587
Dentist - General Practice in Owasso, OK

Active since August 27, 2019
9551 N. OWASSO EXPRESSWAY, SUITE #100, OWASSO, OK 74055(918) 376-6165(918) 376-6160 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 29, 2019, Aug 27, 2019 (2 updates tracked since 2019).

About Lakecrest Owasso NPPES

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

LAKECREST OWASSO (NPI 1972151587) is a healthcare organization registered as a general practice in Owasso, Oklahoma and active in the NPI registry since August 2019. The organization lists Michelle Mayre Moss, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1972151587
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKECREST DENTAL-OWASSO 96TH
Location Address9551 N. OWASSO EXPRESSWAY, SUITE #100Owasso, OK 74055
Mailing Address9551 N. Owasso Expy Suite 100Owasso, OK 74055 · (918) 376-6165 · Fax (918) 376-6160
Phone(918) 376-6165
Fax(918) 376-6160
Organization SubpartNo
Authorized OfficialMichelle Mayre MossOffice Manager · (918) 376-6165
Enumeration DateAugust 27, 2019
Last NPPES UpdateOctober 29, 20192 updates tracked since enumeration
✔ NPI 1972151587 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.
9551 N. OWASSO EXPRESSWAY, Owasso, OK 74055
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Other Names 1

Other NameLakecrest Owasso

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 ›

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 Lakecrest Dental-Owasso 96th's NPI number?

The NPI number for Lakecrest Dental-Owasso 96th is 1972151587. It was assigned to this organization in the NPPES registry on August 27, 2019. The provider is also known as Lakecrest Owasso.

Where is Lakecrest Dental-Owasso 96th located?

Lakecrest Dental-Owasso 96th is located at 9551 N. Owasso Expressway Suite #100, Owasso, OK 74055. The listed phone number is (918) 376-6165.

What is Lakecrest Dental-Owasso 96th's specialty?

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

What insurance does Lakecrest Dental-Owasso 96th 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 Lakecrest Dental-Owasso 96th 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 Lakecrest Dental-Owasso 96th was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.