OrganizationActive
Advantage Dental Oral Health Center of Oklahoma, P.C.
NPI 1386412328 · General Practice Dentistry · Broken Arrow, OK
Provider details
- NPI number
- 1386412328
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Advantage Dental Oral Health Center of Oklahoma, P.C.
- Organization subpart
- Yes
- Authorized official
- Sherrie Edmondson, Sr Manager(629) 999-5014
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Practice location
2619 S Elm Pl
Broken Arrow, OK 74012-7878
Phone: (918) 872-0218
Fax: (918) 872-0892
Approximate (ZIP-level) locationGet directions
Mailing address
63140 Britta St Ste D104
Bend, OR 97703-5738
Other names (DBA / former)
- Doing business as
- Advantage Dental Plus
- Doing business as
- Advantage Dental Plus
Additional practice locations (1)
- 1040 Ne 36th StOklahoma City, OK 73111-5002Phone: (405) 967-7742
Registry dates
- Enumerated
- 2023-12-19
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.