Advantage Dental Oral Health Center of Oklahoma, P.C.
NPI 1386412328ActiveOrganization· Dentist, General Practice· Broken Arrow, OK
Dentist, General Practice in Broken Arrow, Oklahoma, registered in NPPES in December 2023, part of Advantage Dental Oral Health Center of Oklahoma, P.C. The authorized official on file is Sherrie Edmondson, Sr Manager.
Overview
| NPI | 1386412328 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advantage Dental Oral Health Center of Oklahoma, P.C. |
| NPI issued | Dec 19, 2023 |
| Last updated in NPPES | Mar 19, 2024 |
| Certified by provider | Mar 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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