OrganizationActive
Custom Dental of Ottawa, PA
NPI 1508419938 · Dental Clinic/Center · Ottawa, KS
Custom Dental of Ottawa, PA is a Dental Clinic/Center organization in Ottawa, KS (NPI 1508419938).
Provider details
- NPI number
- 1508419938
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rene Rodgers, Coo(405) 227-6100
Specialties & taxonomies
Ambulatory Health Care Facilities
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
2030 S Princeton St
Ottawa, KS 66067
Phone: (785) 521-3737
Street-level locationGet directions
Mailing address
2030 S Princeton St
Ottawa, KS 66067
Registry dates
- Enumerated
- 2019-07-24
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Frequently asked questions
- What is Custom Dental of Ottawa, PA's NPI number?
- Custom Dental of Ottawa, PA's National Provider Identifier (NPI) is 1508419938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Dental of Ottawa, PA?
- Custom Dental of Ottawa, PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Custom Dental of Ottawa, PA located?
- Custom Dental of Ottawa, PA's practice location on file with NPPES is 2030 S Princeton St, Ottawa, KS 66067.
- What is Custom Dental of Ottawa, PA's phone number?
- The practice phone number listed in the NPPES registry for Custom Dental of Ottawa, PA is (785) 521-3737.
- Who is the authorized official for Custom Dental of Ottawa, PA?
- The authorized official listed on Custom Dental of Ottawa, PA's NPPES record is Rene Rodgers, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Dental of Ottawa, PA's NPI active?
- Yes — Custom Dental of Ottawa, PA's NPI (1508419938) is active in the NPPES registry as of the last update on 2021-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.