Edwards, David M.

Edwards, David M. is an individual health care provider with primary practice located at 3330 Windlass Cir , Anchorage AK 99516-3438. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Edwards, David M. can be contacted via phone (907) 345-7148.

Contact Information

Primary practice address
3330 Windlass Cir Anchorage AK 99516-3438
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 533 Alaska

Profile Details

NPI number 1194745570
LBN Legal business name Edwards, David M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 9th, 2012 - about 12 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 1194745570 NPPES
Other 985877 TRICARE
MEDICAID DD05331 TRICARE
MEDICAID DD05332 TRICARE
Other 600309 TRICARE
MEDICAID DD0533 TRICARE

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