Midtown Dental PLLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

MIDTOWN DENTAL PLLC

Practice address

809 NW Highway 270
Woodward, OK 73801-1734

Phone

(580) 256-6054

Fax

(580) 256-6057

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Creed Cardon, DDS

Title

President/Owner

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garrett Don Olive, D.D.S.

  • General Practice Dentistry
  • Woodward, OK
  • NPI 1093163446
  NPD
• Mariah Newman, DMD

  • Dentist
  • Woodward, OK
  • NPI 1083563373
  NPD (past)

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1245054436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-235-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 NW HIGHWAY 270",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738011734",
            "telephone_number": "580-256-6054",
            "fax_number": "580-256-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "CREED",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "918-998-0996",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Meinders, LCSW
• Lori Mendenhall
• Lori Messenger, LPC
• Michael E. Aitson DDS Inc. PC
• Micks Family Pharmacy Inc.
• Leslie A Miller
• Macy Donelle Millikan, FNP
• Kristen Leigh Mills, APRN-CNP
• Adriana Minjares Luna
• Giselle Minjares

• Public Health Dentistry in Woodward, OK
• Providers in Woodward, OK by specialty
• Public Health Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.