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Dental Depot Mid West City

NPI 1245434166ActiveOrganization· Dentist, General Practice· Midwest City, OK

Dentist, General Practice in Midwest City, Oklahoma, registered in NPPES in June 2007. The authorized official on file is Beth Grant, Office Manager.

Overview

NPI1245434166
StatusActive
Entity typeOrganization
NPI issuedJun 13, 2007
Last updated in NPPESJun 25, 2021
Certified by providerJun 25, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X3723OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Midwest City

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