Custom Dental of Edmond, PLLC
NPI 1013211846 · General Practice Dentistry · Oklahoma City, OK
Custom Dental of Edmond, PLLC is a General Practice Dentistry organization in Oklahoma City, OK (NPI 1013211846).
Provider details
- NPI number
- 1013211846
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Grant Pitt, Dentist(405) 282-6440
- License
- 5978 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-01-10
- Last updated
- 2011-09-15
Frequently asked questions
- What is Custom Dental of Edmond, PLLC's NPI number?
- Custom Dental of Edmond, PLLC's National Provider Identifier (NPI) is 1013211846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Dental of Edmond, PLLC?
- Custom Dental of Edmond, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Custom Dental of Edmond, PLLC located?
- Custom Dental of Edmond, PLLC's practice location on file with NPPES is 17840 N. Penn, Oklahoma City, OK 73012.
- What is Custom Dental of Edmond, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Dental of Edmond, PLLC is (405) 282-6440.
- Who is the authorized official for Custom Dental of Edmond, PLLC?
- The authorized official listed on Custom Dental of Edmond, PLLC's NPPES record is Grant Pitt, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Dental of Edmond, PLLC's NPI active?
- Yes — Custom Dental of Edmond, PLLC's NPI (1013211846) is active in the NPPES registry as of the last update on 2011-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.