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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.