Organization · Type 2 NPI

Advantage Dental Oral Health Center of Oklahoma, P.c.

General Practice Dentistry · Broken Arrow, OK

NPI number 1386412328 Active

Practice location

2619 S Elm Pl
Broken Arrow, OK 74012-7878

Call (918) 872-0218 Map

Fax (918) 872-0892

Mailing address

63140 Britta St Ste D104
Bend, OR 97703-5738

Other practice locations

1040 NE 36th St, Oklahoma City, OK 73111-5002 · (405) 967-7742

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
General Practice Dentistry Primary	1223G0001X	None listed
Pediatric Dentistry	1223P0221X	None listed
Oral and Maxillofacial Surgery (Dentist)	1223S0112X	None listed

General Practice Dentistry: 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.

6 other providers at this address

Other general practice dentistry providers in Broken Arrow

See all in Broken Arrow →

NPI record

NPI: 1386412328
Entity type: Organization (Type 2)
Issued: Dec 19, 2023
Last updated: Mar 19, 2024
Status: Active
Subpart: Yes of Advantage Dental Oral Health Center of Oklahoma, P.c.

Other names

<unavail>
Advantage Dental Plus · doing business as
Advantage Dental Plus · doing business as

Authorized official

Sherrie Edmondson
SR Manager
(629) 999-5014

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386412328

Advantage Dental Oral Health Center of Oklahoma, P.c.'s National Provider Identifier is 1386412328, issued on Dec 19, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Broken Arrow, OK. The record was last updated on Mar 19, 2024.