Organization
JEREMY EDWARDS DDS PLLC
Active
Other names
Oklahoma Dental Implants and Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
THAO T. VO (CREDENTIALING DEPARTMENT)
(405) 848-7974
Entity
Organization
Contact information
Practice address
1004 MEDICAL PARK BLVD, EDMOND, OK 73013-3025
(405) 348-8184
(405) 348-5349
Mailing address
3000 UNITED FOUNDERS BLVD STE 237, OKLAHOMA CITY, OK 73112-4334
(405) 848-7974
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6586
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/17/2022
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