MEDICARE: DENTAL INSPIRATIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1255290003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL INSPIRATIONS LLC

Provider Business Mailing Address
First Line	:	5908 REGIS CT
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-8010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15398 LLEYTONS CT STE 105
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-2271
Country	:	US
Telephone Number	:	346-413-9976
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAJJU GUPTA
Credential	:	DDS
Telephone Number	:	346-413-9976

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	02/12/2026

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Directions to “DENTAL INSPIRATIONS LLC ” Practice Location

Language	Start Address	Practice Location

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