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

Eagle Dental Corp Inc

Organization Dentist · NPI 1235141029

Eagle Dental Corp Inc is a Dentist in Midwest City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6520 E Reno
Midwest City, OK 73110-2109
Phone: (405) 732-6821
Fax: (405) 732-7970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4594 (OK)
Dentist Taxonomy 122300000X · Licence 4609 (OK)

Record details

NPI number1235141029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Martin — Ceo Vice President · (405) 732-6821
Other names Dr Steve Carson And Dr Mary Mary Martin
NPI enumeratedAugust 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6520 East Reno, Midwest City, OK 73110-2109

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