OrganizationActive
Dental Square LLC
NPI 1164979076 · General Practice Dentistry · Bethany, OK
Dental Square LLC is a General Practice Dentistry organization in Bethany, OK (NPI 1164979076).
Provider details
- NPI number
- 1164979076
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Anusha Koneru, Ceo(405) 495-2402
- License
- 6727 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
6301 Nw 23rd St
Bethany, OK 73008-5931
Phone: (405) 495-2402
Fax: (405) 495-1325
Street-level locationGet directions
Mailing address
6301 Nw 23rd St
Bethany, OK 73008-5931
Other names (DBA / former)
- Doing business as
- Dental Square
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2016-09-08
Frequently asked questions
- What is Dental Square LLC's NPI number?
- Dental Square LLC's National Provider Identifier (NPI) is 1164979076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Square LLC?
- Dental Square LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental Square LLC located?
- Dental Square LLC's practice location on file with NPPES is 6301 Nw 23rd St, Bethany, OK 73008-5931.
- What is Dental Square LLC's phone number?
- The practice phone number listed in the NPPES registry for Dental Square LLC is (405) 495-2402.
- Who is the authorized official for Dental Square LLC?
- The authorized official listed on Dental Square LLC's NPPES record is Anusha Koneru, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Square LLC's NPI active?
- Yes — Dental Square LLC's NPI (1164979076) is active in the NPPES registry as of the last update on 2016-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.