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

Premiere Family Dentistry of Tahlequah, PLLC

Organization Dental Clinic/Center · NPI 1780340513

Premiere Family Dentistry of Tahlequah, PLLC is a Dental Clinic/Center in Tahlequah, 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.

See every abbreviation used in this directory →

Practice location Address checks out

1205 E Ross Byp
Tahlequah, OK 74464-4188
Phone: (918) 456-2555
Fax: (918) 456-2444
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1780340513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Smith — Senior Manager · (918) 456-2555
NPI enumeratedNovember 16, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address1205 E Ross Byp, Tahlequah, OK 74464-4188