OrganizationActive
Owasso Pediatric Dentistry, PLLC
NPI 1750137907 · Public Health Dentistry · Owasso, OK
Provider details
- NPI number
- 1750137907
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Authorized official
- Creed Cardon, President
Practice location
9455 N Owasso Expy Ste H
Owasso, OK 74055-5457
Phone: (918) 998-0996
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Registry dates
- Enumerated
- 2024-04-29
- Last updated
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.