Custom Dental Of Edmond, Pllc is a Dental Clinic in Oklahoma City, Oklahoma. It is located at 17840 N. Penn, Oklahoma City, OK and its contact number is 405-282-6440. The authorized person for Custom Dental Of Edmond, Pllc is Dr. Grant Pitt
who is Dentist of the clinic and their contact number is 405-282-6440. The primary license number for Custom Dental Of Edmond, Pllc is 5978 (General Practice) in Oklahoma.
Custom Dental Of Edmond, Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Custom Dental Of Edmond, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Custom Dental Of Edmond, Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 17840 N. Penn, Oklahoma City,
Oklahoma, 73012 |
| Phone: | 405-282-6440 |
| Fax: | 405-282-6785 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Grant Pitt |
| Position: | Dentist |
| Contact Number: | 405-282-6440 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Custom Dental Of Edmond, Pllc clinic are as mentioned below.
| NPI Number: | 1013211846 |
| NPI Enumeration Date: | 10 Jan, 2011 |
| NPI Last Update On: | 15 Sep, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Dental Of Edmond, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 5978 | Oklahoma | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Custom Dental Of Edmond, Pllc
17840 N Pennsylvania Ave,
Edmond, Oklahoma |
| Zip: | 73012-9097 |
| Phone Number: | 405-282-6440 |
| Fax Number: | 405-282-6785 |
Patients can reach Custom Dental Of Edmond, Pllc at
17840 N. Penn, Oklahoma City, Oklahoma or can
call to book an appointment on 405-282-6440.
Comments/ Reviews:
Read all the reviews posted for Custom Dental Of Edmond, Pllc below. You may also share your own experience with Custom Dental Of Edmond, Pllc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.