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
Address 1508 N Grandview Ave, Odessa, Texas
Phone Number 4322721190
Fax Number 8005320728
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1255521241
Provider Enumeration Date 2007-07-26
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1508 N Grandview Ave
City Odessa
State Texas (TX)
Post Code 797613000
Phone Number 4322721190
Fax Number 8005320728

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
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

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FAQs about Joel Trimble Edwards

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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