# EDNA DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013378736
- **Authorized official:** DANA CHANEY PEREZ (REGIONAL MANAGER)
- **Authorized official phone:** (361) 552-5800

## Contact information

- **Practice address:** 1006 N WELLS ST, EDNA, TX 77957-2151
- **Practice address phone:** (361) 792-3722
- **Practice address fax:** (888) 276-1646
- **Mailing address:** PO BOX 734753, DALLAS, TX 75373-4753
- **Mailing address phone:** (361) 792-3722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 27025 | TX | Yes |

## Other

- **Enumeration date:** 03/08/2016
- **Last updated:** 09/16/2022