Edwards, Daniel Shane

Edwards, Daniel Shane is an individual health care provider with primary practice located at 103 N Brentwood Ste 400 , Lufkin TX 75904-7147. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Edwards, Daniel Shane can be contacted via phone (366) 394-8679.

Contact Information

Primary practice address
103 N Brentwood Ste 400 Lufkin TX 75904-7147
Phone: (366) 394-8679
Fax: (936) 639-4868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18117 Texas
Dental Providers / Dentist 122300000X 18117 Texas

Profile Details

NPI number 1770784746
LBN Legal business name Edwards, Daniel Shane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Sep 15th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770784746 NPPES
Texas Other 752851171 TAX ID

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