Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174819841 Individual Practitioner Female Practitioner

Dr. Kellie Sue Ophus , DDS

Dentist - General Practice • Shawnee, OK

Professional Overview & Biography Verified Profile Summary

Dr. Kellie Ophus, DDS is a registered healthcare professional specializing in Dentist - General Practice in Shawnee, OK. Practice services are available at 19 W INTERSTATE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19 W Interstate Pkwy

Shawnee, OK 748041331

Telephone 4052750675
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shawnee, OK

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

Practicing in Shawnee, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 6292

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

1 Associated Practitioners
NPI 1326898602

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 21, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 21, 2011

Registered at 19 W INTERSTATE PKWY, SHAWNEE, OK 748041331 (Tel: 4052750675)

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Updated Business Mailing Address June 21, 2011

Registered at 208 N CHARLES AVE, MIDWEST CITY, OK 731303411 (Tel: 4058306437)

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Provider Name / Credentials Updated June 21, 2011

Recorded as KELLIE OPHUS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2011

Dentist (License #6292 in OK)

🟢
Initial NPI Registration & Enumeration June 21, 2011

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: 1174819841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2011
Last Update: June 21, 2011
Sole Proprietor: No

Mailing Address

208 N Charles Ave

Midwest City, OK 731303411

Phone: 4058306437

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.