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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.