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

Ace Logo

Individual provider General Practice Dentistry · NPI 1669097804

Ace Logo is a Dentist in Enid, Oklahoma. Graduated from Midwestern University College of Dental Medicine, Glendale in 2020, 6 years ago. Licensed in Oklahoma.

Years since qualifying
6
Trained at
Midwestern University College of Dental Medicine, Glendale
Licensed in
OK
In the registry since
2020
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Practice location Address checks out

402 S Oakwood Rd Ste D
Enid, OK 73703-4945
Phone: (580) 242-5862
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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 7292 (OK)

Record details

NPI number1669097804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 13, 2020
Last updated in NPPESJune 13, 2020
Certification dateJune 13, 2020
Mailing address402 S Oakwood Rd Ste D, Enid, OK 73703-4945

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Also practisesORAL SURGERY
Medical schoolMIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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