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Active NPI 1932835725 Organization (Entity Type 2)

Eclipse Smiles, Pllc

Clinic/Center - Dental • Glenpool, OK

About Eclipse Smiles, Pllc NPI 1932835725 Summary

Eclipse Smiles, Pllc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Glenpool, OK. Located at 12190 S WACO AVE STE B, this facility provides patient care and medical services under National Provider Identifier (NPI) 1932835725.

Administrative operations and authorized compliance are overseen by Christian Andrus (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

12190 S Waco Ave Ste B

Glenpool, OK 740335661

Telephone 9189430282

Authorized Official Information

Authorized Contact Name

DR. Christian Andrus , DMD

Title / Role

Owner

Official Telephone

9189430282

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Dentist - General Practice

Glenpool, OK

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
📍
Updated Practice Location September 08, 2024

Registered at 12190 S WACO AVE STE B, GLENPOOL, OK 740335661 (Tel: 9189430282)

🏛️
Organization / Clinic Name Updated September 08, 2024

Operating as ECLIPSE SMILES, PLLC

NPI Profile Active July 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2022

Registered at 12108 S WACO AVE, GLENPOOL, OK 740335660 (Tel: 9189430282)

📍
Updated Business Mailing Address July 25, 2022

Registered at 14001 S JOPLIN AVE, BIXBY, OK 740084155

🏛️
Organization / Clinic Name Updated July 25, 2022

Operating as ECLIPSE SMILES

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2022

Clinic/Center

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Initial NPI Registration & Enumeration July 25, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1932835725
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 25, 2022
Last Update: September 08, 2024

Mailing Address

14001 S Joplin Ave

Bixby, OK 740084155

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.