Organization · Type 2 NPI

On the Cusp Stillwater, PLLC

Pediatric Dentistry · Stillwater, OK

NPI number 1063359693 Active

Practice location

1405 S Sangre Rd
Stillwater, OK 74074-1832

Fax (918) 970-4953

Mailing address

8222 E 103rd St Ste 133
Tulsa, OK 74133-7027

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed
Dental Clinic/Center 261QD0000XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1063359693

On the Cusp Stillwater, PLLC's National Provider Identifier is 1063359693, issued on May 1, 2026. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Stillwater, OK. The record was last updated on May 1, 2026.