OrganizationActive
Dental Boutique PLLC
NPI 1922643543 · General Practice Dentistry · Oklahoma City, OK
Dental Boutique PLLC is a General Practice Dentistry organization in Oklahoma City, OK (NPI 1922643543).
Provider details
- NPI number
- 1922643543
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kameliya Chervilov, Owner(405) 848-8838
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
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
3621 Nw 63rd St Ste C
Oklahoma City, OK 73116-2041
Phone: (405) 848-8838
Fax: (405) 810-0043
Street-level locationGet directions
Mailing address
3621 Nw 63rd St Ste C
Oklahoma City, OK 73116-2041
Registry dates
- Enumerated
- 2019-11-07
- Last updated
- 2022-12-08
- Certified
- 2022-12-08
Frequently asked questions
- What is Dental Boutique PLLC's NPI number?
- Dental Boutique PLLC's National Provider Identifier (NPI) is 1922643543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Boutique PLLC?
- Dental Boutique PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental Boutique PLLC located?
- Dental Boutique PLLC's practice location on file with NPPES is 3621 Nw 63rd St Ste C, Oklahoma City, OK 73116-2041.
- What is Dental Boutique PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dental Boutique PLLC is (405) 848-8838.
- Who is the authorized official for Dental Boutique PLLC?
- The authorized official listed on Dental Boutique PLLC's NPPES record is Kameliya Chervilov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Boutique PLLC's NPI active?
- Yes — Dental Boutique PLLC's NPI (1922643543) is active in the NPPES registry as of the last update on 2022-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.