Advantage Dental Group, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ADVANTAGE DENTAL GROUP, PLLC

Practice address

11907 S Memorial Dr Ste B
Bixby, OK 74008-2045

Phone

(918) 394-0303

NPI assigned

Apr 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matt Hale

Title

Authorized Representative

Phone

(214) 702-0729

Specialties & licenses 1

Addresses

Other names 1

• Advantage Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1063974640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 DALLAS PKWY STE 925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483323",
            "telephone_number": "214-702-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11907 S MEMORIAL DR STE B",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082045",
            "telephone_number": "918-394-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-702-0729"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blake Adams, DDS
• Steve Adamson, DPH
• Aday of Speech Therapy L.L.C.
• Advanced Spinal Care & Alternative Healing Arts, PC
• Advantage Dental PLLC
• Affordable Hearing Center, LLC
• Afresh Mind LLC
• Parmida Alidaee
• Kayla Joi Allen, MSN, RN

• All providers in Bixby, OK
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.