DR. Michael Douglas Edwards, DDS,MSD

NPI #1255420600 in Indianapolis, Indiana

Provider Information

NPI Number: 1255420600
Entity Type: Individual
Name: DR. Michael Douglas Edwards, DDS,MSD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS,MSD
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8801 N MERIDIAN ST
Address 2: SUITE 103
City: Indianapolis
State: Indiana
ZIP Code: 46260-2396
Phone: (317) 574-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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