OrganizationActive
Kickingbird Dental
NPI 1174935142 · Dentist · Edmond, OK
Kickingbird Dental is a Dentist organization in Edmond, OK (NPI 1174935142).
Provider details
- NPI number
- 1174935142
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ashley Dussault, Office Manager(405) 359-9696
- License
- OK4913 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1333 E Danforth Rd
Edmond, OK 73034-3201
Phone: (405) 359-9696
Fax: (405) 359-0808
Street-level locationGet directions
Mailing address
1333 E Danforth Rd
Edmond, OK 73034-3201
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2014-05-27
Frequently asked questions
- What is Kickingbird Dental's NPI number?
- Kickingbird Dental's National Provider Identifier (NPI) is 1174935142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kickingbird Dental?
- Kickingbird Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Kickingbird Dental located?
- Kickingbird Dental's practice location on file with NPPES is 1333 E Danforth Rd, Edmond, OK 73034-3201.
- What is Kickingbird Dental's phone number?
- The practice phone number listed in the NPPES registry for Kickingbird Dental is (405) 359-9696.
- Who is the authorized official for Kickingbird Dental?
- The authorized official listed on Kickingbird Dental's NPPES record is Ashley Dussault, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kickingbird Dental's NPI active?
- Yes — Kickingbird Dental's NPI (1174935142) is active in the NPPES registry as of the last update on 2014-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.