Ivan Joseph Ahlert, DDS
Individual provider Active NPI Dentist · Owasso, OK
NPI 1770467367 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1770467367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8014 (OK)
- Practice address
- 14600 E 88TH PL N
Owasso, OK 74055-4877 - Phone
- (918) 272-1444
- NPI assigned
- Aug 5, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8014 | OK | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8014 | OK | Yes |
Addresses
Primary practice location
14600 E 88TH PL N
Owasso, OK 74055-4877
Mailing address
612 Shadowlake Rd
Norman, OK 73071-6897
Phone (918) 907-1253
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.