OrganizationActive
Ronisha Durham DDS PLLC
NPI 1396458857 · Dental Clinic/Center · Edmond, OK
Ronisha Durham DDS PLLC is a Dental Clinic/Center organization in Edmond, OK (NPI 1396458857).
Provider details
- NPI number
- 1396458857
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronisha Durham, Owner/Dentist(405) 569-2604
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
15260 Lleytons Ct
Edmond, OK 73013-7301
Phone: (405) 492-7862
Approximate (ZIP-level) locationGet directions
Mailing address
2701 N 23rd St Apt 2403
Broken Arrow, OK 74014-2171
Other names (DBA / former)
- Doing business as
- Revive Dental
Registry dates
- Enumerated
- 2022-12-29
- Last updated
- 2022-12-29
- Certified
- 2022-12-28
Frequently asked questions
- What is Ronisha Durham DDS PLLC's NPI number?
- Ronisha Durham DDS PLLC's National Provider Identifier (NPI) is 1396458857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ronisha Durham DDS PLLC?
- Ronisha Durham DDS PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ronisha Durham DDS PLLC located?
- Ronisha Durham DDS PLLC's practice location on file with NPPES is 15260 Lleytons Ct, Edmond, OK 73013-7301.
- What is Ronisha Durham DDS PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ronisha Durham DDS PLLC is (405) 492-7862.
- Who is the authorized official for Ronisha Durham DDS PLLC?
- The authorized official listed on Ronisha Durham DDS PLLC's NPPES record is Ronisha Durham, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ronisha Durham DDS PLLC's NPI active?
- Yes — Ronisha Durham DDS PLLC's NPI (1396458857) is active in the NPPES registry as of the last update on 2022-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.