OrganizationActive
Okc Dental Health Associates, P.C.
NPI 1053731828 · Oral and Maxillofacial Surgery (Dentist) · Oklahoma City, OK
Provider details
- NPI number
- 1053731828
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Okc Dental Health Associates, P.C.
- Organization subpart
- Yes
- Authorized official
- Hannah Fish, Credentialing Coordinator(217) 540-5699
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4420 W I 40 Service Rd
Oklahoma City, OK 73108-1896
Phone: (405) 948-8779
Street-level locationGet directions
Mailing address
4420 W I 40 Service Rd
Oklahoma City, OK 73108-1896
Other names (DBA / former)
- Doing business as
- Mydentist-Meridian Oral Surgery
Registry dates
- Enumerated
- 2014-04-21
- Last updated
- 2016-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.