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Active NPI 1427898840 Individual Practitioner Male Practitioner

Dr. Van Dale Demille , DDS

Dentist - General Practice • Enid, OK

Professional Overview & Biography Verified Profile Summary

Dr. Van Demille, DDS is a registered healthcare professional specializing in Dentist - General Practice in Enid, OK. Practice services are available at 5202 W OWEN K GARRIOTT RD STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5202 W Owen K Garriott Rd Ste A

Enid, OK 737034611

Telephone 5802425862
Associated Practice Facility / Clinic
🏢 Enid Dentistry & Braces Facility NPI 1780105122

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
24 Specialists

Practicing in Enid, 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: 2024-05-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 7823

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Steven Durr , DDS

Dentist - General Practice

NPI 1083682413

Doctor of Dental Surgery

Dr. Benjamin Jones , DMD

Dentist - General Practice

NPI 1285563577

Doctor of Dental Medicine

Ace Logo

Dentist - General Practice

NPI 1669097804

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 31, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2024

Registered at 5202 W OWEN K GARRIOTT RD STE A, ENID, OK 737034611 (Tel: 5802425862)

📍
Updated Business Mailing Address May 31, 2024

Registered at 5202 W OWEN K GARRIOTT RD STE A, ENID, OK 737034611 (Tel: 5802425862)

👤
Provider Name / Credentials Updated May 31, 2024

Recorded as VAN DEMILLE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Dentist (License #7823 in OK)

🟢
Initial NPI Registration & Enumeration May 31, 2024

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: 1427898840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2024
Last Update: May 31, 2024
Sole Proprietor: Yes

Mailing Address

5202 W Owen K Garriott Rd Ste A

Enid, OK 737034611

Phone: 5802425862

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.