Organization
JEFFREY L. EDWARDS, DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L EDWARDS DMD (PRESIDENT)
(859) 278-0427
Entity
Organization
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
122300000X
Dentist
Primary
5681
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60056819
—
KY
Enumeration date
07/01/2008
Last updated
07/01/2008
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