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

Ideal Dental Northwest Oklahoma City

Organization Dentist · NPI 1366337966

Ideal Dental Northwest Oklahoma City provides Dentist services in Oklahoma City, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3629 NW 178th St Ste D
Oklahoma City, OK 73012
Phone: (972) 361-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1366337966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Canava — Vp Revenue Cycle · (972) 331-8079
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateMay 27, 2025
Mailing address12750 Merit Dr Ste 1100, Dallas, TX 75251-1302

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