NPI 1003220039

Jeremy Alan Edwards, DDS

Practitioner Oral and Maxillofacial Surgery (Dentist) Edmond, OK

Practice location

Address: 1004 Medical Park Blvd, Edmond, OK 73013-3025
Phone: (405) 348-8184
Fax: (405) 348-5349

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 6586 (OK)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003220039
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2014
Record last updated: 17 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.