OrganizationActive
Custom Dental of Owasso, PLLC
NPI 1659689248 · Dentist · Owasso, OK
Custom Dental of Owasso, PLLC is a Dentist organization in Owasso, OK (NPI 1659689248).
Provider details
- NPI number
- 1659689248
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ron Campbell, Dentist(918) 371-7645
- License
- 6099 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
11501 N. 135th East Ave
Owasso, OK 74055
Phone: (918) 371-7645
Fax: (918) 371-7272
Street-level locationGet directions
Mailing address
2001 S Division St
Guthrie, OK 73044-6063
Registry dates
- Enumerated
- 2010-09-17
- Last updated
- 2010-09-17
Frequently asked questions
- What is Custom Dental of Owasso, PLLC's NPI number?
- Custom Dental of Owasso, PLLC's National Provider Identifier (NPI) is 1659689248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Dental of Owasso, PLLC?
- Custom Dental of Owasso, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Custom Dental of Owasso, PLLC located?
- Custom Dental of Owasso, PLLC's practice location on file with NPPES is 11501 N. 135th East Ave, Owasso, OK 74055.
- What is Custom Dental of Owasso, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Dental of Owasso, PLLC is (918) 371-7645.
- Who is the authorized official for Custom Dental of Owasso, PLLC?
- The authorized official listed on Custom Dental of Owasso, PLLC's NPPES record is Ron Campbell, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Dental of Owasso, PLLC's NPI active?
- Yes — Custom Dental of Owasso, PLLC's NPI (1659689248) is active in the NPPES registry as of the last update on 2010-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.