OrganizationActive
Edmond Pediatric and Teen Dentistry
NPI 1235419409 · Pediatric Dentistry · Edmond, OK
Edmond Pediatric and Teen Dentistry is a Pediatric Dentistry organization in Edmond, OK (NPI 1235419409).
Provider details
- NPI number
- 1235419409
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Heath Whitfield, Owner, President, Officer(405) 513-8811
- License
- 6048 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3824 S. Boulevard
Suite 110
Edmond, OK 73013
Phone: (405) 513-8811
Street-level locationGet directions
Mailing address
3824 S. Boulevard
Edmond, OK 73013
Registry dates
- Enumerated
- 2011-08-19
- Last updated
- 2011-08-19
Frequently asked questions
- What is Edmond Pediatric and Teen Dentistry's NPI number?
- Edmond Pediatric and Teen Dentistry's National Provider Identifier (NPI) is 1235419409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edmond Pediatric and Teen Dentistry?
- Edmond Pediatric and Teen Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Edmond Pediatric and Teen Dentistry located?
- Edmond Pediatric and Teen Dentistry's practice location on file with NPPES is 3824 S. Boulevard, Edmond, OK 73013.
- What is Edmond Pediatric and Teen Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Edmond Pediatric and Teen Dentistry is (405) 513-8811.
- Who is the authorized official for Edmond Pediatric and Teen Dentistry?
- The authorized official listed on Edmond Pediatric and Teen Dentistry's NPPES record is Heath Whitfield, Owner, President, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edmond Pediatric and Teen Dentistry's NPI active?
- Yes — Edmond Pediatric and Teen Dentistry's NPI (1235419409) is active in the NPPES registry as of the last update on 2011-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.