Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edmond Pediatric and Teen Dentistry

Organization Pediatric Dentistry · NPI 1235419409

Edmond Pediatric and Teen Dentistry is a 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
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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