Doctor profile · Federal record
Dr. Ace Logo
General Practice Dentistry (CMS: Dentist) · Enid, OK
- NPI 1669097804
- 6 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
402 S Oakwood RD Ste D
Enid, OK 737034945
(580) 242-5862
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Oklahoma #7292
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669097804. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 1 | $16.23 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
100
Patients
84
Total drug cost
$603
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 62 | 50 | $259 |
| Methylprednisolone | Generic | 24 | 22 | $218 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 14 | 12 | $126 |
Frequently asked questions
What is Dr. Ace Logo's medical specialty?
Dr. Ace Logo practices General Practice Dentistry in Enid, OK.
Where does Dr. Ace Logo practice?
Dr. Ace Logo practices at 402 S Oakwood RD Ste D, Enid, OK 737034945. Office phone: 5802425862.
What is Dr. Ace Logo's NPI?
Dr. Ace Logo's National Provider Identifier (NPI) is 1669097804, issued by NPPES.
Does Dr. Ace Logo accept Medicare assignment?
Dr. Ace Logo does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.