Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Custom Dental of Owasso, PLLC

Organization Dentist · NPI 1659689248

Custom Dental of Owasso, PLLC provides Dentist services in Owasso, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11501 N 135th East Ave
Owasso, OK 74055 Not confirmed with CMS for 16 years — call before visiting
Phone: (918) 371-7645
Fax: (918) 371-7272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6099 (OK)

Record details

NPI number1659689248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Campbell — Dentist · (918) 371-7645
NPI enumeratedSeptember 17, 2010
Last updated in NPPESSeptember 17, 2010
Mailing address2001 S Division St, Guthrie, OK 73044-6063

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