Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Custom Dental of Owasso, PLLC

Organization Dentist · NPI 1659689248

Custom Dental of Owasso, PLLC is a Dentist 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
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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