Dr. Paul C. Edwards
Dentist Oral and Maxillofacial Pathology
1121 W Michigan Street
Indianapolis
, Indiana 46202-5186
Dr. Paul C. Edwards
Dentist Oral and Maxillofacial Pathology
1121 W Michigan Street
Indianapolis
, Indiana 46202-5186
(317) 274-2603
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About
Features
Specialties
- Dentist
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Paul C. Edwards
- 1121 W Michigan Street
- Indianapolis, IN
- Zip : 46202-5186
- Fax : (317) 274-2603
- Phone : (317) 274-5628
Second Address
- Dr. Paul C. Edwards
- 1121 W Michigan Street
- Indianapolis, IN
- Zip : 46202-5186
- Fax : (317) 274-2603
- Phone : (317) 274-5628
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 2901019526 | MI |
| N | 1223P0106X | Oral and Maxillofacial Pathology | 106 | NE |
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 12012036A | IN |
National Provider Identifier
| NPI | 1356334072 |
|---|---|
| Provider Name | Dr. Paul C. Edwards |
| First Address | Indianapolis, IN 46202-5186 |
| Second Address | Indianapolis, IN 46202-5186 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2005 |
| Last Update Date | 31/10/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.