Organization
FEDWARDS DENTAL PC
Active
Other names
West Brighton Dental ON AMBOY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F EDWARDS DDS (OWNER /DDS)
(718) 273-1101
Entity
Organization
Contact information
Practice address
2781 AMBOY RD, STATEN ISLAND, NY 10306-2157
(718) 273-1011
(718) 273-0308
Mailing address
2781 AMBOY RD, STATEN ISLAND, NY 10306-2157
(718) 273-1101
(718) 273-0308
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02353313
—
NY
05
—
05296222
—
NY
01
—
1124289491
NPI
NY
Enumeration date
09/14/2023
Last updated
10/11/2024
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