OrganizationActive
Spring Dental Collinsville, PLLC
NPI 1477110963 · Dentist · Collinsville, OK
Spring Dental Collinsville, PLLC is a Dentist organization in Collinsville, OK (NPI 1477110963).
Provider details
- NPI number
- 1477110963
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Creed Cardon, Owner(918) 998-0996
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
619 W Main St
Collinsville, OK 74021-3333
Phone: (918) 371-3375
Fax: (918) 371-4407
Street-level locationGet directions
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Registry dates
- Enumerated
- 2019-05-21
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Frequently asked questions
- What is Spring Dental Collinsville, PLLC's NPI number?
- Spring Dental Collinsville, PLLC's National Provider Identifier (NPI) is 1477110963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spring Dental Collinsville, PLLC?
- Spring Dental Collinsville, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Spring Dental Collinsville, PLLC located?
- Spring Dental Collinsville, PLLC's practice location on file with NPPES is 619 W Main St, Collinsville, OK 74021-3333.
- What is Spring Dental Collinsville, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Spring Dental Collinsville, PLLC is (918) 371-3375.
- Who is the authorized official for Spring Dental Collinsville, PLLC?
- The authorized official listed on Spring Dental Collinsville, PLLC's NPPES record is Creed Cardon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spring Dental Collinsville, PLLC's NPI active?
- Yes — Spring Dental Collinsville, PLLC's NPI (1477110963) is active in the NPPES registry as of the last update on 2023-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.