OrganizationActive
Muskogee Pediatric Dental PLLC
NPI 1265198410 · Dentist · Muskogee, OK
Muskogee Pediatric Dental PLLC is a Dentist organization in Muskogee, OK (NPI 1265198410).
Provider details
- NPI number
- 1265198410
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Anne Demmy, Credentialing Specialist(918) 998-0996
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
930 W Shawnee St
Muskogee, OK 74401-3511
Phone: (918) 998-0996
Street-level locationGet directions
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Registry dates
- Enumerated
- 2021-11-11
- Last updated
- 2021-11-11
- Certified
- 2021-11-11
Frequently asked questions
- What is Muskogee Pediatric Dental PLLC's NPI number?
- Muskogee Pediatric Dental PLLC's National Provider Identifier (NPI) is 1265198410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Muskogee Pediatric Dental PLLC?
- Muskogee Pediatric Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Muskogee Pediatric Dental PLLC located?
- Muskogee Pediatric Dental PLLC's practice location on file with NPPES is 930 W Shawnee St, Muskogee, OK 74401-3511.
- What is Muskogee Pediatric Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Muskogee Pediatric Dental PLLC is (918) 998-0996.
- Who is the authorized official for Muskogee Pediatric Dental PLLC?
- The authorized official listed on Muskogee Pediatric Dental PLLC's NPPES record is Anne Demmy, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Muskogee Pediatric Dental PLLC's NPI active?
- Yes — Muskogee Pediatric Dental PLLC's NPI (1265198410) is active in the NPPES registry as of the last update on 2021-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.