Individual
DR. JEFFREY L. EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2134 NICHOLASVILLE RD, #15, LEXINGTON, KY 40503-2521
(859) 278-0427
(859) 278-8873
Mailing address
2134 NICHOLASVILLE RD, #15, LEXINGTON, KY 40503-2521
(859) 278-0427
(859) 278-8873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5681
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60056819
—
KY
05
—
61900320
—
KY
Enumeration date
02/08/2007
Last updated
06/12/2014
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