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Pediatric Dental Group II, LLC

Dental Clinic/Center in Midwest City, OK · enumerated 2019 · authorized official Shaun Urbanozo, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912553215

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Dental Group II, LLC
Other name <Unavail>
Parent organization Pediatric Dental Group II, LLC
Practice address 1200 S Air Depot Blvd, Midwest City, OK, 73110
Phone (918) 872-7009
Enumeration date Aug 13, 2019
Last updated in NPPES Mar 30, 2020

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Shaun Urbanozo
Title Credentialing Manager
Phone (719) 323-2362

Other identifiers

Identifier Type State Issuer
3942 Other OK OK STATE DENTAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-03-30. Verify at npiregistry.cms.hhs.gov.
Where is Pediatric Dental Group II, LLC located?
The practice location on file with NPPES is in Midwest City, OK.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-30.