Pediatric Dental Group II, LLC
NPI 1912553215 · Dental Clinic/Center · Midwest City, OK
Pediatric Dental Group II, LLC is a Dental Clinic/Center organization in Midwest City, OK (NPI 1912553215).
Provider details
- NPI number
- 1912553215
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pediatric Dental Group II, LLC
- Organization subpart
- Yes
- Authorized official
- Shaun Urbanozo, Credentialing Manager(719) 323-2362
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Doing business as
- Adventure Dental of Midwest City
- Doing business as
- Adventure Dental of Midwest City
Registry dates
- Enumerated
- 2019-08-13
- 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 1912553215, 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 Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric Dental Group II, LLC located?
- Pediatric Dental Group II, LLC's practice location on file with NPPES is 1200 S Air Depot Blvd, Midwest City, OK 73110-4866.
- 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) 872-7009.
- 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 (1912553215) 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.