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

Luminary Dermatology of Oklahoma, LLC

Organization Dermatology Physician · NPI 1730758541

Luminary Dermatology of Oklahoma, LLC provides Dermatology Physician services in Edmond, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1218 E 9th St Ste 1
Edmond, OK 73034-5796
Phone: (405) 856-0020
Fax: (405) 856-0021
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1730758541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Phillips — Ceo · (941) 302-4669
NPI enumeratedJune 24, 2021
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021
Mailing address4411 Bee Ridge Rd, Pmb 309, Sarasota, FL 34233-2514

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