Richard Mark Edwards in Sparta - General Practice

Richard Mark Edwards - NPI 1790851087

Richard Mark Edwards is a General Practice in Sparta, Wisconsin. Richard Mark Edwards practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Mark Edwards is 1790851087. The last update date is 2007-07-08.

Richard Mark Edwards's current location address is 605 W Wisconsin St, Sparta, Wisconsin. You can contact this provider via phone number 6082695909 and fax number 6082695935. The mailing address for Richard Mark Edwards is 605 W Wisconsin St, Sparta, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Mark Edwards
Address 605 W Wisconsin St, Sparta, Wisconsin
Phone Number 6082695909
Fax Number 6082695935
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1790851087
Provider Enumeration Date 2006-11-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 605 W Wisconsin St
City Sparta
State Wisconsin (WI)
Post Code 546562334
Phone Number 6082695909
Fax Number 6082695935

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5001597
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33558500 WI --

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FAQs about Richard Mark Edwards

What is the unique 10-digit identifier code issued to Richard Mark Edwards by the Centers for Medicare & Medicaid Services?

The Richard Mark Edwards has been assigned the NPI (National Provider Identifier) 1790851087 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 physical location address of Richard Mark Edwards?

The Richard Mark Edwards is physically situated at 605 W Wisconsin St, in the city of Sparta, state of WI, with the postal code 546562334.

What is Richard Mark Edwards's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard Mark Edwards is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date was the 1790851087 assigned to Richard Mark Edwards?

The Richard Mark Edwards was issued its 1790851087 on 2006-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Richard Mark Edwards, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard Mark Edwards, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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