Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093857211 Individual Practitioner Male Practitioner

Dr. Michael L Chandler , DDS

Dentist - General Practice • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Dr. Michael Chandler, DDS is a registered healthcare professional specializing in Dentist - General Practice in Edmond, OK. Practice services are available at 12 NW 150TH ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Nw 150th St Ste A

Edmond, OK 730131873

Telephone 4053304630

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
71 Specialists

Practicing in Edmond, OK (1496 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 5474

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100131340 B (OK)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 26, 2024

Registered at 12 NW 150TH ST STE A, EDMOND, OK 730131873 (Tel: 4053304630)

📍
Updated Business Mailing Address June 26, 2024

Registered at 12 NW 150TH ST STE A, EDMOND, OK 730131873 (Tel: 4053304630)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1745 W 33RD ST, STE A, EDMOND, OK 730133819 (Tel: 4053304630)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1745 W 33RD ST, STE A, EDMOND, OK 730133819 (Tel: 4053304630)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL CHANDLER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5474 in OK)

🟢
Initial NPI Registration & Enumeration February 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093857211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: June 26, 2024
Sole Proprietor: No

Mailing Address

12 Nw 150th St Ste A

Edmond, OK 730131873

Phone: 4053304630

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.