# PKL ORTHODONTICS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Sky Ortho
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104206887
- **Authorized official:** DR. PRISCILLA PICKENS-LARSON DMD (OWNER/ ORTHODONTIST)
- **Authorized official phone:** (405) 378-4774

## Contact information

- **Practice address:** 717 S I 35 SERVICE RD STE C, MOORE, OK 73160-3190
- **Practice address phone:** (405) 378-4774
- **Mailing address:** 717 S I 35 SERVICE RD STE C, MOORE, OK 73160-3190
- **Mailing address phone:** (405) 378-4774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 189 | OK | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 06/08/2015