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

Luminary Dermatology of Oklahoma, LLC

Organization Dermatology Physician · NPI 1730758541

Luminary Dermatology of Oklahoma, LLC is a Dermatology Physician 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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