Charly Nicole Edwards, DDS

Dentist · Jackson, MS

Individual Active NPI

NPI number 1356833602

Practice location

2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-6001

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NPI record

NPI
1356833602
Entity type
Individual (Type 1)
Enumeration date
June 2, 2018
Last updated
June 13, 2022
Certified
June 13, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 4295-22 MS
Dentist 122300000X 10762 TN
General Practice Dentistry 1223G0001X 10762 TN

About Dr. Edwards

Charly Nicole Edwards, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2500 N State St, Jackson, MS 39216-4500. The NPI number 1356833602 was assigned on June 2, 2018 and the record was last updated on June 13, 2022.

Dr. Edwards lists 3 licenses in the registry: #4295-22 (MS) for Dentist; #10762 (TN) for Dentist; #10762 (TN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charly Nicole Edwards, DDS?

The NPI number is 1356833602.

What is the phone number of Dr. Edwards?

The phone number listed for the practice location is (601) 984-6001.

Where is Dr. Edwards located?

2500 N State St, Jackson, MS 39216-4500.

What is the taxonomy code for Dr. Edwards?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

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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