# FEDWARDS DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Brighton Dental ON AMBOY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720866452
- **Authorized official:** DR. WILLIAM F EDWARDS DDS (OWNER /DDS)
- **Authorized official phone:** (718) 273-1101

## Contact information

- **Practice address:** 2781 AMBOY RD, STATEN ISLAND, NY 10306-2157
- **Practice address phone:** (718) 273-1011
- **Practice address fax:** (718) 273-0308
- **Mailing address:** 2781 AMBOY RD, STATEN ISLAND, NY 10306-2157
- **Mailing address phone:** (718) 273-1101
- **Mailing address fax:** (718) 273-0308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2023
- **Last updated:** 10/11/2024