OrganizationActive
Eagle Dental Corp Inc
NPI 1235141029 · Dentist · Midwest City, OK
Eagle Dental Corp Inc is a Dentist organization in Midwest City, OK (NPI 1235141029).
Provider details
- NPI number
- 1235141029
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mary Martin, Ceo Vice President(405) 732-6821
- License
- 4609 (OK)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6520 East Reno
Midwest City, OK 73110-2109
Phone: (405) 732-6821
Fax: (405) 732-7970
Street-level locationGet directions
Mailing address
6520 East Reno
Midwest City, OK 73110-2109
Other names (DBA / former)
- Former legal business name
- Dr Steve Carson and Dr Mary Mary Martin
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Eagle Dental Corp Inc's NPI number?
- Eagle Dental Corp Inc's National Provider Identifier (NPI) is 1235141029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Dental Corp Inc?
- Eagle Dental Corp Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Eagle Dental Corp Inc located?
- Eagle Dental Corp Inc's practice location on file with NPPES is 6520 East Reno, Midwest City, OK 73110-2109.
- What is Eagle Dental Corp Inc's phone number?
- The practice phone number listed in the NPPES registry for Eagle Dental Corp Inc is (405) 732-6821.
- Who is the authorized official for Eagle Dental Corp Inc?
- The authorized official listed on Eagle Dental Corp Inc's NPPES record is Mary Martin, Ceo Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Dental Corp Inc's NPI active?
- Yes — Eagle Dental Corp Inc's NPI (1235141029) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.