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

Dental Boutique PLLC

Organization General Practice Dentistry · NPI 1922643543

Dental Boutique PLLC is a General Practice Dentistry in Oklahoma City, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019
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

3621 NW 63rd St Ste C
Oklahoma City, OK 73116-2041
Phone: (405) 848-8838
Fax: (405) 810-0043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1922643543
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kameliya Chervilov — Owner · (405) 848-8838
NPI enumeratedNovember 7, 2019
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address3621 Nw 63rd St Ste C, Oklahoma City, OK 73116-2041

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