Joel Trimble Edwards in Odessa - Pediatric Dentistry
Joel Trimble Edwards - NPI 1255521241
Joel Trimble Edwards is a Pediatric Dentistry in Odessa, Texas. Joel Trimble Edwards practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Joel Trimble Edwards is 1255521241. The last update date is 2023-03-07.
Joel Trimble Edwards's current location address is 1508 N Grandview Ave, Odessa, Texas. You can contact this provider via phone number 4322721190 and fax number 8005320728. The mailing address for Joel Trimble Edwards is 1508 N Grandview Ave, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joel Trimble Edwards |
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Address | 1508 N Grandview Ave, Odessa, Texas |
Phone Number | 4322721190 |
Fax Number | 8005320728 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1255521241 |
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Provider Enumeration Date | 2007-07-26 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 1508 N Grandview Ave |
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City | Odessa |
State | Texas (TX) |
Post Code | 797613000 |
Phone Number | 4322721190 |
Fax Number | 8005320728 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 21784 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
21784 | TX | TSB |
Post Comment/ Review Below
What is the unique identifier code issued to Joel Trimble Edwards by the Centers for Medicare & Medicaid Services?
The Joel Trimble Edwards has been assigned the NPI (National Provider Identifier) 1255521241. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Joel Trimble Edwards is physically located?
The Joel Trimble Edwards is situated at the following address: 1508 N Grandview Ave, Odessa, TX 797613000.
What is Joel Trimble Edwards's area of expertise and its corresponding taxonomy classification?
The Joel Trimble Edwards's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
When was the Joel Trimble Edwards's 1255521241 issued?
The Joel Trimble Edwards's 1255521241 was issued on 2007-07-26.
As of what date were the details related to Joel Trimble Edwards most recently updated or revised?
The information pertaining to Joel Trimble Edwards, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.
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