Bruce D. Edwards, DDS

Periodontics · Petoskey, MI

Individual Active NPI

NPI number 1639410178

Practice location

2115 M-119
Petoskey, MI 49770
Phone
(231) 347-2518
Fax
(231) 347-8530

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NPI record

NPI
1639410178
Entity type
Individual (Type 1)
Enumeration date
March 8, 2013
Last updated
December 15, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 2901020869 MI
General Practice Dentistry 1223G0001X 2901020869 MI

About Dr. Edwards

Bruce D. Edwards, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 2115 M-119, Petoskey, MI 49770. The NPI number 1639410178 was assigned on March 8, 2013 and the record was last updated on December 15, 2017.

Dr. Edwards lists 2 licenses in the registry: #2901020869 (MI) for Periodontics; #2901020869 (MI) 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 Bruce D. Edwards, DDS?

The NPI number is 1639410178.

What is the phone number of Dr. Edwards?

The phone number listed for the practice location is (231) 347-2518.

Where is Dr. Edwards located?

2115 M-119, Petoskey, MI 49770.

What is the taxonomy code for Dr. Edwards?

The primary taxonomy code is 1223P0300X – Periodontics; 1 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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