Custom Dental Of Edmond, Pllc - Dental Clinic in Oklahoma City, OK

Custom Dental Of Edmond, Pllc is a dental clinic (Dentist - General Practice) in Oklahoma City, Oklahoma. The current practice location for Custom Dental Of Edmond, Pllc is 17840 N. Penn, Oklahoma City, Oklahoma. For appointments, you can reach them via phone at (405) 282-6440. The mailing address for Custom Dental Of Edmond, Pllc is 17840 N Pennsylvania Ave, Edmond, Oklahoma and phone number is (405) 282-6440.

Custom Dental Of Edmond, Pllc is licensed to practice in Oklahoma (license number 5978) and its NPI number is 1013211846. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (405) 282-6440.

Contact Information

Custom Dental Of Edmond, Pllc
17840 N. Penn
Oklahoma City
OK 73012
(405) 282-6440
(405) 282-6785

Map and Direction


Dental Care Clinic Profile

Full NameCustom Dental Of Edmond, Pllc
SpecialityDentist - General Practice
Location17840 N. Penn, Oklahoma City, Oklahoma
Authorized Official Name and PositionGrant Pitt (DENTIST)
Authorized Official Contact4052826440
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Custom Dental Of Edmond, Pllc
17840 N Pennsylvania Ave
Edmond
OK 73012-9097

Ph: (405) 282-6440
Custom Dental Of Edmond, Pllc
17840 N. Penn
Oklahoma City
OK 73012

Ph: (405) 282-6440

NPI Details:

NPI Number1013211846
Provider Enumeration Date01/10/2011
Last Update Date09/15/2011

Medical Identifiers

Medical identifiers for Custom Dental Of Edmond, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013211846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 5978 (Oklahoma)Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.