Organization Active NPI

Optimum Dental of Elgin, PLLC

  • Dentist
  • Elgin, OK
National Provider Identifier
1700569415
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OPTIMUM DENTAL OF ELGIN, PLLC
Practice address
12885 Commerce Dr
Elgin, OK 73538-3869
Phone
(405) 206-2916
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Wesley Guenther, DDSNPI 1033639430
Title
Manager
Phone
(913) 609-9286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

12885 Commerce Dr
Elgin, OK 73538-3869

Mailing address

12885 Commerce Dr
Elgin, OK 73538-3869
Phone (580) 215-7990

Other names 2

  • Optimum Dental of Elgin Doing business as
  • Optimum Dental of Elgin, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

12885 Commerce Dr
Elgin, OK 73538
Phone (405) 206-2916

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1700569415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12885 COMMERCE DR",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735383869",
            "telephone_number": "580-215-7990",
            "fax_number": "580-215-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12885 COMMERCE DR",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735383869",
            "telephone_number": "405-206-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM DENTAL OF ELGIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "GUENTHER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-609-9286",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Dental of Elgin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimum Dental of Elgin, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.