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

Custom Dental South Oklahoma City

Organization Dentist · NPI 1740653930

Custom Dental South Oklahoma City is a Dentist in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015

Practice location Address checks out

6800 S Western Ave
Oklahoma City, OK 73139-1809
Phone: (405) 631-7571
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6745 (OK)

Record details

NPI number1740653930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carson Nail — Dentist · (405) 631-7571
NPI enumeratedNovember 10, 2015
Last updated in NPPESNovember 10, 2015
Mailing address6800 S Western Ave, Oklahoma City, OK 73139-1809

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