Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Edmond Pediatric and Teen Dentistry

Organization Pediatric Dentistry · NPI 1235419409

Edmond Pediatric and Teen Dentistry provides Pediatric Dentistry in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011

Practice location Address checks out

3824 S Blvd Ste 110
Edmond, OK 73013 Not confirmed with CMS for 15 years — call before visiting
Phone: (405) 513-8811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 6048 (OK)

Record details

NPI number1235419409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heath Whitfield — Owner, President, Officer · (405) 513-8811
NPI enumeratedAugust 19, 2011
Last updated in NPPESAugust 19, 2011
Mailing address3824 S. Boulevard, Suite 110, Edmond, OK 73013

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