OrganizationActive
Dental Professionals of Oklahoma, P.C.
NPI 1548557002 · General Practice Dentistry · Yukon, OK
Provider details
- NPI number
- 1548557002
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Dental Professionals of Oklahoma, P.C.
- Organization subpart
- Yes
- Authorized official
- Heather Pruemer, Credentialing Coordinator(217) 540-8434
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1670 Garth Brooks Blvd
Suite 115
Yukon, OK 73099-6878
Phone: (405) 494-3080
Fax: (405) 265-3555
Approximate (ZIP-level) locationGet directions
Mailing address
1670 Garth Brooks Blvd
Yukon, OK 73099-6878
Other names (DBA / former)
- Doing business as
- Family Dentistry of Yukon
Registry dates
- Enumerated
- 2011-07-06
- Last updated
- 2015-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.