Thaddeus Carl Edwardson, DMD

Dentist · Hannibal, MO

Individual Active NPI

NPI number 1326530510

Practice location

2727 Saint Marys Ave
Hannibal, MO 63401-3774
Phone
(573) 221-1227

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NPI record

NPI
1326530510
Entity type
Individual (Type 1)
Enumeration date
June 4, 2018
Last updated
June 4, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2018018253 MO

About Dr. Edwardson

Thaddeus Carl Edwardson, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2727 Saint Marys Ave, Hannibal, MO 63401-3774. The NPI number 1326530510 was assigned on June 4, 2018 and the record was last updated on June 4, 2018.

Dr. Edwardson lists a license in the registry: #2018018253 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thaddeus Carl Edwardson, DMD?

The NPI number is 1326530510.

What is the phone number of Dr. Edwardson?

The phone number listed for the practice location is (573) 221-1227.

Where is Dr. Edwardson located?

2727 Saint Marys Ave, Hannibal, MO 63401-3774.

What is the taxonomy code for Dr. Edwardson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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