Redbud Dental Edmond, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REDBUD DENTAL EDMOND, PLLC

Practice address

18001 N Western Ave Ste 106
Edmond, OK 73012-9135

Phone

(405) 447-6453

NPI assigned

May 22, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Creed Cardon

Title

Owner

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1083306716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996",
            "fax_number": "918-235-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N WESTERN AVE STE 106",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129135",
            "telephone_number": "405-447-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBUD DENTAL EDMOND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "CREED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Faulkner MD, PLLC
• Rebecca Steward, LCSW, LLC
• Reclaiming Hope Counseling LLC
• Recovery Achievements LLC
• Red River RX Solutions, LLC (Red River Rx Solutions)
• Redeemed Counseling PLLC
• Ralph L Redline III, PT
• Susan T Redwine, MD
• Charmetra Reece
• Dwight Reece Jr.

• General Practice Dentistry in Edmond, OK
• Providers in Edmond, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.