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

Southwest Pediatric Dental Associates, PLLC

Organization Pediatric Dentistry · NPI 1366568438

Southwest Pediatric Dental Associates, PLLC provides Pediatric Dentistry in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
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

809 SW 89th St Ste A
Oklahoma City, OK 73139-9300
Phone: (405) 616-7336
Fax: (405) 616-5756
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 4636 (OK)

Record details

NPI number1366568438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa White — Manager · (405) 616-7336
NPI enumeratedMarch 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address809 Sw 89th St, Suite A, Oklahoma City, OK 73139-9300

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