OrganizationActive
Nicoma Park Dental PLLC
NPI 1518452952 · Dental Clinic/Center · Oklahoma City, OK
Nicoma Park Dental PLLC is a Dental Clinic/Center organization in Oklahoma City, OK (NPI 1518452952).
Provider details
- NPI number
- 1518452952
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Wallace, Owner(405) 413-7466
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
10420 Ne 23rd St
Oklahoma City, OK 73141-5216
Phone: (405) 603-8520
Street-level locationGet directions
Mailing address
3801 N Bryan Ave
Bethany, OK 73008-3001
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2018-06-27
Frequently asked questions
- What is Nicoma Park Dental PLLC's NPI number?
- Nicoma Park Dental PLLC's National Provider Identifier (NPI) is 1518452952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nicoma Park Dental PLLC?
- Nicoma Park Dental PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Nicoma Park Dental PLLC located?
- Nicoma Park Dental PLLC's practice location on file with NPPES is 10420 Ne 23rd St, Oklahoma City, OK 73141-5216.
- What is Nicoma Park Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Nicoma Park Dental PLLC is (405) 603-8520.
- Who is the authorized official for Nicoma Park Dental PLLC?
- The authorized official listed on Nicoma Park Dental PLLC's NPPES record is Jason Wallace, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nicoma Park Dental PLLC's NPI active?
- Yes — Nicoma Park Dental PLLC's NPI (1518452952) is active in the NPPES registry as of the last update on 2018-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.