| Michael Q Edwards Dmd Pc | |
|
124 West Main Street Union MO 63084 | |
| (636) 583-2612 | |
| (636) 583-6479 |
| Full Name | Michael Q Edwards Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 124 West Main Street, Union, Missouri |
| Authorized Official Name and Position | Michael Q Edwards (OWNER CEO) |
| Authorized Official Contact | 6365832612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Q Edwards Dmd Pc 124 West Main Street Union MO 63084 Ph: (636) 583-2612 | Michael Q Edwards Dmd Pc 124 West Main Street Union MO 63084 Ph: (636) 583-2612 |
| NPI Number | 1558445221 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558445221 | NPI | - | NPPES |
| 2015747 | Other | MO | DELTA DENTAL PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE015747 (Missouri) | Primary |