Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dental Square LLC

Organization General Practice Dentistry · NPI 1164979076

Dental Square LLC provides 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 Not confirmed with CMS for 10 years — call before visiting
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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