Board of Regents of the University of Oklahoma - Ou Denitstry
NPI 1629110119ActiveOrganization· Dentist· Oklahoma City, OK
Dentist in Oklahoma City, Oklahoma, registered in NPPES in February 2007. The authorized official on file is D. Michelle Park, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629110119 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2007 |
| Last updated in NPPES | Apr 21, 2025 |
| Certified by provider | Apr 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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