Yukon Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

5884 Issued in OK

Legal business name

YUKON DENTAL GROUP PLLC

Doing business as

Endodontics and Dental Implants of Oklahoma

Practice address

1010 Garth Brooks Blvd Ste. 120
Yukon, OK 73099

Phone

(405) 982-2121

Fax

(405) 561-0120

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Xu, DDS

Title

Manager

Phone

(405) 982-2121

Specialties & licenses 1

Addresses

Other names 1

• Endodontics and Dental Implants of Oklahoma Doing business as

Locations

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1679075147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 MIDTOWN PLACE STE. B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73130",
            "telephone_number": "405-982-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 GARTH BROOKS BLVD STE. 120",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-982-2121",
            "fax_number": "405-561-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKON DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-982-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontics and Dental Implants of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nick Zane Young, PT
• Elizabeth Anne Younger, PT
• Youth & Family Services, Inc.
• Yukon Chiropractic
• Yukon Dental Center for Kids (Yukon Kids Dental)
• Yukon Dentistry & Braces
• Yukon Maxillo-Facial Surgery Center
• Yukon Medical Imaging LLC
• Yukon Pediatrics Behavioral Health L.L.C.
• Yukon Pharmacy Inc (West Pointe Pharmacy)

• Dentist in Yukon, OK
• Providers in Yukon, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.