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

Ideal Dental Northwest Oklahoma City

Organization Dentist · NPI 1366337966

Ideal Dental Northwest Oklahoma City is a Dentist in Oklahoma City, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3629 NW 178th St Ste D
Oklahoma City, OK 73012
Phone: (972) 361-0600
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1366337966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Canava — Vp Revenue Cycle · (972) 331-8079
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateMay 27, 2025
Mailing address12750 Merit Dr Ste 1100, Dallas, TX 75251-1302

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