Pediatric Dental Services Of Oklahoma PLLC
Dentist, Pediatric Dentistry in Newcastle, OK. Organization (NPI-2).
NPI number1619820719
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1619820719
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Dental Services Of Oklahoma PLLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2026
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Other names
- Pediatric Dental Services (Doing Business As)
Practice location
550 Ne 24th St Ste HNewcastle, OK 73065-6364
Phone 801-201-8396
Mailing address
10157 Stone Gate WayArcadia, OK 73007-7529
Phone 801-201-8396
Authorized official
David Evans
Member
8012018396
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