# GILLIAN EDWARDS DDS PC

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

## Provider details

- **NPI number:** 1568530442
- **Authorized official:** GILLIAN EDWARDS DDS (PRESIDENT)
- **Authorized official phone:** (989) 755-0991

## Contact information

- **Practice address:** 427 N MICHIGAN AVENUE, SAGINAW, MI 48602-4314
- **Practice address phone:** (989) 755-0991
- **Practice address fax:** (989) 755-0001
- **Mailing address:** 427 N MICHIGAN AVENUE, SAGINAW, MI 48602-4314
- **Mailing address phone:** (989) 755-0991
- **Mailing address fax:** (989) 755-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 14398 | MI | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 07/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1745800 | — | MI |
| 05 | — | 4976113 | — | MI |