Edwards, Cory Blake
Edwards, Cory Blake is an sole proprietor health care provider with primary practice located at 1063 Narrows Way Suite B, Birmingham AL 35242. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Edwards, Cory Blake can be contacted via phone (205) 981-9100.Contact Information
Primary practice address
1063 Narrows Way Suite B
Birmingham AL 35242
Phone: (205) 981-9100
Fax: (205) 995-3762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5217 | Alabama |
Profile Details
| NPI number | 1285858431 |
|---|---|
| LBN Legal business name | Edwards, Cory Blake |
| Credentials | D.M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285858431 | NPPES |
| Alabama | Other | 515 37373 | BLUECROSS BLUESHIELD |
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