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

Blaire Allyn Ersteniuk, DDSMS

Individual provider Periodontics · NPI 1962726851

Blaire Allyn Ersteniuk, DDSMS is a Periodontics in Edmond, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2010
Specialties on file
3

Practice location Address checks out

609 S Kelly Ave Ste A1
Edmond, OK 73003-5696
Phone: (405) 509-8932
Fax: (405) 531-0808
Show map & directions

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

Additional practice locations (1)

  • 1414 N Kennedy Ave, Shawnee, OK 74801-4700 — (405) 214-0404

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6184 (OK)
Periodontics Taxonomy 1223P0300X · Licence 6184 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962726851
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedMarch 21, 2010
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021

Other providers in Edmond