Edmond Pediatric And Teen Dentistry - Dental Clinic in Edmond, OK

Edmond Pediatric And Teen Dentistry is a dental clinic (Dentist - Pediatric Dentistry) in Edmond, Oklahoma. The current practice location for Edmond Pediatric And Teen Dentistry is 3824 S. Boulevard, Suite 110, Edmond, Oklahoma. For appointments, you can reach them via phone at (405) 513-8811. The mailing address for Edmond Pediatric And Teen Dentistry is 3824 S. Boulevard, Suite 110, Edmond, Oklahoma and phone number is (405) 513-8811.

Edmond Pediatric And Teen Dentistry is licensed to practice in Oklahoma (license number 6048) and its NPI number is 1235419409. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (405) 513-8811.

Contact Information

Edmond Pediatric And Teen Dentistry
3824 S. Boulevard
Suite 110
Edmond
OK 73013
(405) 513-8811
Not Available

Dental Care Clinic Profile

Full NameEdmond Pediatric And Teen Dentistry
SpecialityDentist - Pediatric Dentistry
Location3824 S. Boulevard, Edmond, Oklahoma
Authorized Official Name and PositionHeath Austin Whitfield (OWNER, PRESIDENT, OFFICER)
Authorized Official Contact4055138811
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edmond Pediatric And Teen Dentistry
3824 S. Boulevard
Suite 110
Edmond
OK 73013

Ph: (405) 513-8811
Edmond Pediatric And Teen Dentistry
3824 S. Boulevard
Suite 110
Edmond
OK 73013

Ph: (405) 513-8811

NPI Details:

NPI Number1235419409
Provider Enumeration Date08/19/2011
Last Update Date08/19/2011

Medical Identifiers

Medical identifiers for Edmond Pediatric And Teen Dentistry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235419409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 6048 (Oklahoma)Primary

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