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

Muskogee Pediatric Dental PLLC

Organization Dentist · NPI 1265198410

Muskogee Pediatric Dental PLLC is a Dentist in Muskogee, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
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

930 W Shawnee St
Muskogee, OK 74401-3511
Phone: (918) 998-0996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1265198410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Demmy — Credentialing Specialist · (918) 998-0996
NPI enumeratedNovember 11, 2021
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619

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