# EDWARDS & KETCHER, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Elma Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760827380
- **Authorized official:** DR. STEPHEN EDWARDS DMD (OWNER/MANAGER)
- **Authorized official phone:** (360) 861-8318

## Contact information

- **Practice address:** 410 W MAIN ST, ELMA, WA 98541
- **Practice address phone:** (360) 861-8318
- **Practice address fax:** (360) 861-8539
- **Mailing address:** PO BOX 1309, 410 W MAIN ST, ELMA, WA 98541-1309
- **Mailing address phone:** (360) 861-8318
- **Mailing address fax:** (360) 861-8539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE000010695 | WA | Yes |

## Other

- **Enumeration date:** 05/09/2013
- **Last updated:** 05/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1386734416 | NPI | — |
| 01 | — | 1427022326 | NPI | — |