# EDWARDS DENTAL PA

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

## Provider details

- **NPI number:** 1386940021
- **Authorized official:** DR. ANDREW EDWARDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (913) 856-2333

## Contact information

- **Practice address:** 434 W MAIN ST, GARDNER, KS 66030-1184
- **Practice address phone:** (913) 856-2333
- **Mailing address:** 434 W MAIN ST, GARDNER, KS 66030-1184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60585 | KS | Yes |

## Other

- **Enumeration date:** 01/27/2011
- **Last updated:** 01/27/2011