Edwards, Victa Jeron
Edwards, Victa Jeron is an individual health care provider with primary practice located at 1801 Merlin St , Bay City TX 77414-3131. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Edwards, Victa Jeron can be contacted via phone (979) 323-8400.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 18764 | Texas |
Profile Details
| NPI number | 1003976747 |
|---|---|
| LBN Legal business name | Edwards, Victa Jeron |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | May 1st, 2013 - about 11 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 | 1003976747 | NPPES |
| Texas | Other | B18764-01 | CHIP |
| Texas | MEDICAID | 1333247-12 | CHIP |
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