OrganizationActive
Pediatric Dental Group II, LLC
NPI 1760864235 · Pediatric Dentistry · Tulsa, OK
Pediatric Dental Group II, LLC is a Pediatric Dentistry organization in Tulsa, OK (NPI 1760864235).
Provider details
- NPI number
- 1760864235
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shaun Urbanozo, Credentialing Manager(719) 323-2362
- License
- 32 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
7715 E 91st St Ste a
Tulsa, OK 74133-6060
Phone: (918) 585-3744
Street-level locationGet directions
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Other names (DBA / former)
- Doing business as
- Pediatric Dental Group II, LLC
Additional practice locations (1)
- 1200 S Air Depot BlvdMidwest City, OK 73110-4866Phone: (918) 585-3744Fax: (918) 585-3774
Registry dates
- Enumerated
- 2015-06-22
- Last updated
- 2020-03-30
- Certified
- 2020-03-30
Frequently asked questions
- What is Pediatric Dental Group II, LLC's NPI number?
- Pediatric Dental Group II, LLC's National Provider Identifier (NPI) is 1760864235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Group II, LLC?
- Pediatric Dental Group II, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dental Group II, LLC located?
- Pediatric Dental Group II, LLC's practice location on file with NPPES is 7715 E 91st St Ste a, Tulsa, OK 74133-6060.
- What is Pediatric Dental Group II, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Group II, LLC is (918) 585-3744.
- Who is the authorized official for Pediatric Dental Group II, LLC?
- The authorized official listed on Pediatric Dental Group II, LLC's NPPES record is Shaun Urbanozo, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Group II, LLC's NPI active?
- Yes — Pediatric Dental Group II, LLC's NPI (1760864235) is active in the NPPES registry as of the last update on 2020-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.