Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962726851 Individual Practitioner Female Practitioner

Dr. Blaire Allyn Ersteniuk , DDS MS

Dentist • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Dr. Blaire Ersteniuk, DDS MS is a registered healthcare professional specializing in Dentist in Edmond, OK. Practice services are available at 609 S KELLY AVE STE A1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

609 S Kelly Ave Ste A1

Edmond, OK 730035696

Telephone 4055098932
Fax 4055310808
Associated Practice Facility / Clinic
🏢 Kes Pllc Facility NPI 1720815863

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
36 Specialists

Practicing in Edmond, OK (1115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 6184

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Periodontics

NUCC Taxonomy Code: 1223P0300X

State License OK 6184

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1414 N Kennedy Ave, Suite 101

Shawnee, OK 748014700

Phone: 4052140404

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 06, 2021

Registered at 609 S KELLY AVE STE A1, EDMOND, OK 730035696 (Tel: 4055098932)

📍
Updated Business Mailing Address January 06, 2021

Registered at 609 S KELLY AVE STE A1, EDMOND, OK 730035696 (Tel: 4055098932)

👤
Provider Name / Credentials Updated January 06, 2021

Recorded as BLAIRE ERSTENIUK, DDS MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2021

Dentist (License #6184 in OK)

NPI Profile Active December 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2014

Registered at 1414 N KENNEDY AVE, SUITE 101, SHAWNEE, OK 748014700 (Tel: 4052140404)

📍
Updated Business Mailing Address December 01, 2014

Registered at 1414 N KENNEDY AVE, SUITE 101, SHAWNEE, OK 748014700 (Tel: 4052140404)

👤
Provider Name / Credentials Updated December 01, 2014

Recorded as BLAIRE BOWERS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2014

Dentist (License #6184 in OK)

🟢
Initial NPI Registration & Enumeration March 21, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962726851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2010
Last Update: January 06, 2021
Sole Proprietor: No

Mailing Address

609 S Kelly Ave Ste A1

Edmond, OK 730035696

Phone: 4055098932

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.