Pediatric Dental Partners PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

89 Issued in OK

Legal business name

PEDIATRIC DENTAL PARTNERS PLLC

Doing business as

Pediatric Dental OKC

Practice address

5940 NW Expressway Ste 200
Oklahoma City, OK 73132-5101

Phone

(405) 495-5600

Fax

(405) 495-5602

NPI assigned

Aug 9, 2012

Last updated

Dec 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Stecker

Title

Office Manager

Phone

(405) 495-5600

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dental OKC Doing business as

Locations

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1093062911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 NW EXPRESSWAY STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325101",
            "telephone_number": "405-495-5600",
            "fax_number": "405-495-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 NW EXPRESSWAY STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325101",
            "telephone_number": "405-495-5600",
            "fax_number": "405-495-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "STECKER",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-495-5600"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental OKC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mekenzi E Peck, SLP
• Rachel J Peck, P.A.-C
• Zane Pedersen, MD
• Lars Pederson
• Pediatric Anesthesia of Oklahoma, PLLC
• Pediatric Dentistry of Oklahoma
• Pediatric ENT of Oklahoma PLLC
• Pediatric Intensive Care Services Inc
• Pediatric Multispecialty Group PLLC (Pediatric Specialties)
• Pediatric Neuropsychology Associates PLLC

• Pediatric Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.