# CUSTOM DENTAL OF CUSHING,PLLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609140755
- **Authorized official:** DAN MESSER DDS (DENTIST)
- **Authorized official phone:** (405) 343-2737

## Contact information

- **Practice address:** 3200 E. MAIN STREET, CUSHING, OK 74023
- **Practice address phone:** (405) 343-2737
- **Mailing address:** 3200 E. MAIN STREET, CUSHING, OK 74023
- **Mailing address phone:** (405) 343-2737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5997 | OK | Yes |

## Other

- **Enumeration date:** 03/06/2012
- **Last updated:** 03/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200346500A | — | OK |