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

Ronisha Durham DDS PLLC

Organization Dental Clinic/Center · NPI 1396458857

Ronisha Durham DDS PLLC is a Dental Clinic/Center in Edmond, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15260 Lleytons Ct
Edmond, OK 73013-7301
Phone: (405) 492-7862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1396458857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronisha Durham — Owner/Dentist · (405) 569-2604
Other names Revive Dental
NPI enumeratedDecember 29, 2022
Last updated in NPPESDecember 29, 2022
Certification dateDecember 28, 2022
Mailing address2701 N 23rd St Apt 2403, Broken Arrow, OK 74014-2171

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