# JEFFREY L. EDWARDS, DMD PSC

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

## Provider details

- **NPI number:** 1417119306
- **Authorized official:** DR. JEFFREY L EDWARDS DMD (PRESIDENT)
- **Authorized official phone:** (859) 278-0427

## Contact information

- **Practice address:** 2134 NICHOLASVILLE RD, \#15, LEXINGTON, KY 40503-2521
- **Practice address phone:** (859) 278-0427
- **Practice address fax:** (859) 278-8873
- **Mailing address:** 2134 NICHOLASVILLE RD, \#15, LEXINGTON, KY 40503-2521
- **Mailing address phone:** (859) 278-0427
- **Mailing address fax:** (859) 278-8873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5681 | KY | Yes |

## Other

- **Enumeration date:** 07/01/2008
- **Last updated:** 07/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60056819 | — | KY |