IndividualActive
Matthew Edwards, CDT
NPI 1578614905 · Dental Laboratory Technician · Norfolk, VA
Provider details
- NPI number
- 1578614905
- Entity type
- Individual
- Primary specialty
- Dental Laboratory TechnicianDental Providers
- Credential
- CDT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 041586E01628 (VA)
Specialties & taxonomies
Dental Providers
Practice location
1237 River Oaks Dr
Norfolk, VA 23502-2041
Phone: (757) 362-4611
Fax: (757) 853-6966
Approximate (ZIP-level) locationGet directions
Mailing address
1237 River Oaks Dr
Norfolk, VA 23502-2041
Registry dates
- Enumerated
- 2007-01-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.