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

Dental Square LLC

Organization General Practice Dentistry · NPI 1164979076

Dental Square LLC is a General Practice Dentistry in Bethany, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2016.

Licensed in
OK
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6301 NW 23rd St
Bethany, OK 73008-5931
Phone: (405) 495-2402
Fax: (405) 495-1325
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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 · Licence 6727 (OK)

Record details

NPI number1164979076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anusha Koneru — Ceo · (405) 495-2402
Other names Dental Square
NPI enumeratedSeptember 8, 2016
Last updated in NPPESSeptember 8, 2016
Mailing address6301 Nw 23rd St, Bethany, OK 73008-5931

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