Nicholas Henry Edwards JR. DDS

NPI 1033224589 - Dentist - 1223G0001X

NPI Details
NPI 1033224589
Gender Male
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
507 HWY 57
GRAND JUNCTION TN, 38039-0070, US
Phone (731) 764-6428
Fax
Business Location
PO BOX 70
GRAND JUNCTION TN, 38039, US
Phone (731) 764-6428
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number DS4045
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According to our database, Nicholas Henry Edwards JR. DDS NPI is 1033224589, taxonomy code is 1223G0001X and license number is DS4045, license state is located at Tennessee. Nicholas Henry Edwards JR. DDS physically located at 507 Hwy 57, Grand Junction TN, 38039-0070. NPI Number Nicholas Henry Edwards JR. DDS has the Individual type.

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1033224589 NPI number is provided on an as is basis without warranty of any kind. 1033224589 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Henry Edwards JR. DDS are for informational purposes only.