1. Home
  2. Directory
  3. Oklahoma
  4. Edmond
  5. Dentist
  6. NPI Profile

EDMOND PEDIATRIC AND TEEN DENTISTRY
NPI 1235419409
Dentist - Pediatric Dentistry in Edmond, OK

Active since August 19, 2011
3824 S. BOULEVARD, SUITE 110, EDMOND, OK 73013(405) 513-8811 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edmond Pediatric And Teen Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMOND PEDIATRIC AND TEEN DENTISTRY (NPI 1235419409) is a healthcare organization registered as a pediatric dentistry in Edmond, Oklahoma and active in the NPI registry since August 2011. The organization lists Heath Austin Whitfield, Owner, President, Officer, as its authorized official.

NPPES Registry Identity

NPI1235419409
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameEDMOND PEDIATRIC AND TEEN DENTISTRY
Location Address3824 S. BOULEVARD, SUITE 110Edmond, OK 73013
Mailing Address3824 S. Boulevard, Suite 110Edmond, OK 73013 · (405) 513-8811
Phone(405) 513-8811
Organization SubpartNo
Authorized OfficialHeath Austin WhitfieldOwner, President, Officer · (405) 513-8811
Enumeration DateAugust 19, 2011
✔ NPI 1235419409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OK · 6048
Definition
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.
3824 S. BOULEVARD, Edmond, OK 73013
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmond Pediatric And Teen Dentistry's NPI number?

The NPI number for Edmond Pediatric And Teen Dentistry is 1235419409. It was assigned to this organization in the NPPES registry on August 19, 2011.

Where is Edmond Pediatric And Teen Dentistry located?

Edmond Pediatric And Teen Dentistry is located at 3824 S. Boulevard Suite 110, Edmond, OK 73013. The listed phone number is (405) 513-8811.

What is Edmond Pediatric And Teen Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Edmond Pediatric And Teen Dentistry was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.