Organization Active NPI

Moore Pediatric Dental, PLLC

  • Pediatric Dentistry
  • Moore, OK
National Provider Identifier
1801790225
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MOORE PEDIATRIC DENTAL, PLLC
Practice address
1300 Magnolia CT
Ste. C
Moore, OK 73160-9999
Phone
(405) 973-8443
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Dr. Alison Agee, DDS
Title
Owner
Phone
(405) 973-8443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

1300 Magnolia CT
Ste. C
Moore, OK 73160-9999

Mailing address

537 NW 49TH St
Oklahoma City, OK 73118-6601
Phone (405) 973-8443

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1801790225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 NW 49TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186601",
            "telephone_number": "405-973-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAGNOLIA CT",
            "address_2": "STE. C",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731609999",
            "telephone_number": "405-973-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE PEDIATRIC DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-973-8443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.