Organization · Type 2 NPI

Edmond Pediatric and Teen Dentistry

Pediatric Dentistry · Edmond, OK

NPI number 1235419409 Active

Practice location

3824 S. Boulevard, Suite 110
Edmond, OK 73013

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X6048 (OK)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1235419409

Edmond Pediatric and Teen Dentistry's National Provider Identifier is 1235419409, issued on Aug 19, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Edmond, OK. The record was last updated on Aug 19, 2011.