Pediatric Dental Group Ii, Llc is a renowned Dental office in Midwest City, Oklahoma. This organization is also known as sub part of Pediatric Dental Group Ii, Llc. It is located at 1200 S Air Depot Blvd, Midwest City, OK and its contact number is 918-872-7009. The authorized person for Pediatric Dental Group Ii, Llc is Shaun Urbanozo
who is Credentialing Manager of the place and their contact number is 719-323-2362.
Pediatric Dental Group Ii, Llc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Pediatric Dental Group Ii, Llc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pediatric Dental Group Ii, Llc |
| Specialization: | Dentistry |
| Address: | 1200 S Air Depot Blvd, Midwest City,
Oklahoma, 73110-4866 |
| Phone: | 918-872-7009 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Shaun Urbanozo |
| Position: | Credentialing Manager |
| Contact Number: | 719-323-2362 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pediatric Dental Group Ii, Llc Office are as mentioned below.
| NPI Number: | 1912553215 |
| Parent Organization: | Pediatric Dental Group Ii, Llc |
| NPI Enumeration Date: | 13 Aug, 2019 |
| NPI Last Update On: | 30 Mar, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dental Group Ii, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3942 | Other | Oklahoma | Ok State Dental License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pediatric Dental Group Ii, Llc
2221 E Bijou St Ste 100,
Colorado Springs, Colorado |
| Zip: | 80909-8009 |
| Phone Number: | 719-576-1850 |
Patients can reach Pediatric Dental Group Ii, Llc at
1200 S Air Depot Blvd, Midwest City, Oklahoma or can
call to book an appointment on 918-872-7009.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.