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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CUSTOM DENTAL OF EDMOND, PLLC

Active Organization

CUSTOM DENTAL OF EDMOND, PLLC is a General Dentistry organization located in OKLAHOMA CITY, Oklahoma. NPI 1013211846 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · OKLAHOMA CITY, OK

Registration Details

NPI Number
1013211846
Provider Type
Organization
NPI Issued
Jan 10, 2011 (15.607458743674 yrs)
Last Updated
Sep 15, 2011
License
5978 (OK)

Practice Information

Address
17840 N. PENN
OKLAHOMA CITY, OK, 73012
Browse OK providers · Browse ZIP 73012
Phone
4052826440
Fax
4052826785
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.