Individual
DAVID M. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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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