Gregory Paul Edmonds in Phoenix - Dentist

Gregory Paul Edmonds - NPI 1205996055

Gregory Paul Edmonds is a Dentist in Phoenix, Arizona. Gregory Paul Edmonds practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gregory Paul Edmonds is 1205996055. The last update date is 2007-07-08.

Gregory Paul Edmonds's current location address is 15215 S 48th St, Phoenix, Arizona. You can contact this provider via phone number 4805983006 and fax number 4805981184. The mailing address for Gregory Paul Edmonds is 15215 S 48th St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Paul Edmonds
Address 15215 S 48th St, Phoenix, Arizona
Phone Number 4805983006
Fax Number 4805981184
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1205996055
Provider Enumeration Date 2006-12-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15215 S 48th St
City Phoenix
State Arizona (AZ)
Post Code 850449139
Phone Number 4805983006
Fax Number 4805981184

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D4010
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Gregory Paul Edmonds

What is the unique provider identifier assigned to Gregory Paul Edmonds?

The Gregory Paul Edmonds has been issued the NPI (National Provider Identifier) 1205996055 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Gregory Paul Edmonds is physically located?

The Gregory Paul Edmonds is situated at the following address: 15215 S 48Th St, Phoenix, AZ 850449139.

What is Gregory Paul Edmonds's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gregory Paul Edmonds is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205996055 to Gregory Paul Edmonds?

The Gregory Paul Edmonds received its 1205996055 assignment from the Centers for Medicare & Medicaid Services on 2006-12-11.

As of what date were the details related to Gregory Paul Edmonds most recently updated or revised?

The information pertaining to Gregory Paul Edmonds, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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