| Edwards Dental Clinic Inc | |
|
1202 Hwy 22 Edwards MS 39066 | |
| (601) 852-2832 | |
| (601) 852-8927 |
| Full Name | Edwards Dental Clinic Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1202 Hwy 22, Edwards, Mississippi |
| Authorized Official Name and Position | Lane Gibson Clower (DMD) |
| Authorized Official Contact | 6018522832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Dental Clinic Inc 1202 Hwy 22 Edwards MS 39066 Ph: (601) 852-2832 | Edwards Dental Clinic Inc 1202 Hwy 22 Edwards MS 39066 Ph: (601) 852-2832 |
| NPI Number | 1982740809 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982740809 | NPI | - | NPPES |
| 00060458 | Other | MS | PROVIDER |
| 05730275 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 253590 (Mississippi) | Primary |