Edwards, John Greggory

Edwards, John Greggory is an individual health care provider with primary practice located at 1785 San Carlos Ave Ste 6, San Carlos CA 94070-2026. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Edwards, John Greggory can be contacted via phone (650) 591-9977.

Contact Information

Primary practice address
1785 San Carlos Ave Ste 6 San Carlos CA 94070-2026
Fax: (650) 637-2005
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 24772 California

Profile Details

NPI number 1427148865
LBN Legal business name Edwards, John Greggory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1427148865 NPPES
California Other B2477201 DENTI CAL
California Other 400149 DENTI CAL

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