Organization
EDWARDS DENTAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANE GIBSON CLOWER DMD (DMD)
(601) 852-2832
Entity
Organization
Contact information
Practice address
1202 HWY 22, EDWARDS, MS 39066
(601) 852-2832
(601) 852-8927
Mailing address
1202 HWY 22, EDWARDS, MS 39066
(601) 852-2832
(601) 852-8927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
253590
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00060458
PROVIDER
MS
05
—
05730275
—
MS
Enumeration date
01/29/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us