Daniel Shane Edwards in Lufkin - Dentist
Daniel Shane Edwards - NPI 1770784746
Daniel Shane Edwards is a Dentist in Lufkin, Texas. Daniel Shane Edwards practices all healthcare services and medical treatments related to Dentist. The NPI Number for Daniel Shane Edwards is 1770784746. The last update date is 2022-09-15.
Daniel Shane Edwards's current location address is 103 N Brentwood Ste 400, Lufkin, Texas. You can contact this provider via phone number 3663948679 and fax number 9366394868. The mailing address for Daniel Shane Edwards is 103 N Brentwood Ste 400, Lufkin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Shane Edwards |
|---|---|
| Address | 103 N Brentwood Ste 400, Lufkin, Texas |
| Phone Number | 3663948679 |
| Fax Number | 9366394868 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1770784746 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2022-09-15 |
Provider Mailing Address Detail
| Address | 103 N Brentwood Ste 400 |
|---|---|
| City | Lufkin |
| State | Texas (TX) |
| Post Code | 759047147 |
| Phone Number | 3663948679 |
| Fax Number | 9366394868 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 18117 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 752851171 | TX | TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Daniel Shane Edwards by the Centers for Medicare & Medicaid Services?
The Daniel Shane Edwards has been assigned the NPI (National Provider Identifier) 1770784746 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Daniel Shane Edwards is physically located?
The Daniel Shane Edwards is physically situated at the following address: 103 N Brentwood Ste 400, Lufkin, TX, 759047147.
What is Daniel Shane Edwards's area of expertise and its corresponding taxonomy classification?
The Daniel Shane Edwards's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did Daniel Shane Edwards receive its 1770784746 assignment?
The Daniel Shane Edwards was assigned its 1770784746 on 2007-05-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Daniel Shane Edwards last refreshed?
The information related to the Daniel Shane Edwards, including its address, specialty, and other relevant details, was last updated on 2022-09-15.
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