Edwards, Richard Charles
Edwards, Richard Charles is an sole proprietor health care provider with primary practice located at 880 Westfall Rd , Rochester NY 14618-2611. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Edwards, Richard Charles can be contacted via phone (585) 473-1700.Contact Information
Primary practice address
880 Westfall Rd
Rochester NY 14618-2611
Phone: (585) 473-1700
Fax: (585) 271-0806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 048032 | New York |
Profile Details
| NPI number | 1720019409 |
|---|---|
| LBN Legal business name | Edwards, Richard Charles |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Nov 21st, 2011 - about 13 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 | 1720019409 | NPPES |
| New York | Other | 5444766 | AETNA ID |
| New York | Other | P010048032 | AETNA ID |
| New York | Other | 70011 | AETNA ID |
| New York | Other | 102064AT | AETNA ID |
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