Wendell Alan Edgin in San Antonio - Oral And Maxillofacial Surgery
Wendell Alan Edgin - NPI 1619977493
Wendell Alan Edgin is a Oral And Maxillofacial Surgery in San Antonio, Texas. Wendell Alan Edgin practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Wendell Alan Edgin is 1619977493. The last update date is 2008-02-28.
Wendell Alan Edgin's current location address is 4499 Medical Dr, San Antonio, Texas. You can contact this provider via phone number 2106143916 and fax number 2106143918. The mailing address for Wendell Alan Edgin is 4499 Medical Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendell Alan Edgin |
|---|---|
| Address | 4499 Medical Dr, San Antonio, Texas |
| Phone Number | 2106143916 |
| Fax Number | 2106143918 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619977493 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2008-02-28 |
Provider Mailing Address Detail
| Address | 4499 Medical Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782293735 |
| Phone Number | 2106143916 |
| Fax Number | 2106143918 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 12355 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 141763601 | TX | -- | |
| 141763604 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wendell Alan Edgin by the Centers for Medicare & Medicaid Services?
The Wendell Alan Edgin has been assigned the NPI (National Provider Identifier) 1619977493 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Wendell Alan Edgin?
The Wendell Alan Edgin is situated at 4499 Medical Dr, in the city of San Antonio, state of TX, with the zip code 782293735.
What is the Wendell Alan Edgin's area of specialization and corresponding taxonomy classification?
The Wendell Alan Edgin's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619977493 to Wendell Alan Edgin?
The Centers for Medicare & Medicaid Services originally issued the 1619977493 to Wendell Alan Edgin on 2005-07-22.
When was the Wendell Alan Edgin's information last updated?
The Wendell Alan Edgin's information was last updated on 2008-02-28.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN