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

Custom Dental of Yukon, PLLC

Organization Dental Clinic/Center · NPI 1164049185

Custom Dental of Yukon, PLLC is a Dental Clinic/Center in Yukon, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4425 Grant Blvd
Yukon, OK 73099
Phone: (405) 494-4856
Fax: (405) 494-4184
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1164049185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katelyn Johnson — Owner-Doctor · (918) 839-9088
NPI enumeratedJune 26, 2020
Last updated in NPPESJune 26, 2020
Certification dateJune 26, 2020
Mailing address4425 Grant Blvd, Yukon, OK 73099

Other providers in Yukon