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Jeremy Edwards, DDS — NPI 1003220039, Edmond, OK | NPI Central

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NPI 1003220039

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Jeremy Edwards, DDS

NPI 1003220039 · Oral and Maxillofacial Surgery (Dentist) · Edmond, OK

Provider details

NPI number: 1003220039
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112XLicense 6586 (OK)
Dental Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

1004 Medical Park Blvd

Edmond, OK 73013-3025

Phone: (405) 348-8184

Fax: (405) 348-5349

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

1004 Medical Park Blvd

Edmond, OK 73013-3025

Registry dates

Enumerated: 2014-06-18
Last updated: 2022-06-17
Certified: 2022-06-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.