Individual
DAVID M. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3330 WINDLASS CIR, ANCHORAGE, AK 99516-3438
(907) 345-7148
Mailing address
3330 WINDLASS CIR, ANCHORAGE, AK 99516-3438
(907) 345-7148
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
533
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600309
TRI-CARE PROVIDER ID
AK
01
—
985877
TRICARE
—
05
—
DD0533
—
AK
05
—
DD05331
—
AK
05
—
DD05332
—
AK
Enumeration date
07/20/2006
Last updated
08/09/2012
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