Sdpmwc, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SDPMWC, PLLC

Practice address

1900 S Air Depot Blvd Ste 1B
Midwest City, OK 73110-5522

Phone

(405) 733-3553

Fax

(405) 733-5002

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Mike Yates

Title

Cfo

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dentistry of Oklahoma Doing business as

Locations

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1538739610",
    "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": "918-310-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S AIR DEPOT BLVD STE 1B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731105522",
            "telephone_number": "405-733-3553",
            "fax_number": "405-733-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDPMWC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Dentistry of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa M Schroeder, LMT, NCTMB
• Angel Schulte
• Scott C Robertson MD PC
• Lindsay Scott, MS, RD, LD
• Maria C. Scott
• Brian J Seaton, M.D.
• Franki Lynn Sebock
• Serenity Home Health Services, Inc.
• Danielle Lea Settle, PT
• Jason Sewell

• Dental Clinic/Center in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.