# DR. D. SHANE EDWARDS

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

## Provider details

- **NPI number:** 1649440801
- **Authorized official:** DR. DANIEL SHANE EDWARDS D.D.S. (OWNER)
- **Authorized official phone:** (972) 335-3131

## Contact information

- **Practice address:** 8200 STONEBROOK PKWY STE 208, FRISCO, TX 75034-5588
- **Practice address phone:** (972) 335-3131
- **Practice address fax:** (469) 633-1297
- **Mailing address:** 8200 STONEBROOK PKWY STE 208, FRISCO, TX 75034-5588
- **Mailing address phone:** (972) 335-3131
- **Mailing address fax:** (469) 633-1297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | TX18117 | TX | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/04/2008