| Joel T. Edwards, Dds Pllc | |
|
1508 N Grandview Ave Suite 5 Odessa TX 79761-3000 | |
| (432) 272-1190 | |
| (800) 532-0728 |
| Full Name | Joel T. Edwards, Dds Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1508 N Grandview Ave, Odessa, Texas |
| Authorized Official Name and Position | Joel Edwards (DENTIST/OWNER) |
| Authorized Official Contact | 4322721190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel T. Edwards, Dds Pllc 1508 N Grandview Ave Suite 5 Odessa TX 79761-3000 Ph: (432) 272-1190 | Joel T. Edwards, Dds Pllc 1508 N Grandview Ave Suite 5 Odessa TX 79761-3000 Ph: (432) 272-1190 |
| NPI Number | 1417186149 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 07/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417186149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21784 (Texas) | Primary |
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