NATHANIEL TODD EDMUNDS DMD NPI 1275067704

NPI Information

  • NPI: 1275067704
  • Provider Name: NATHANIEL TODD EDMUNDS, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 867 EASTGATE NORTH DR
    CINCINNATI, OH
    ZIP 45245
  • Phone: (513) 843-0133

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NPI Details

Nathaniel Todd Edmunds, DMD is an oral and maxillofacial surgery dentist in Cincinnati, OH with 8 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Nathaniel Todd Edmunds, DMD NPI is 1275067704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduation Year:2017

The provider's business location address is:

867 EASTGATE NORTH DR
CINCINNATI, OH
ZIP 45245-791
Phone: (513) 843-0133

The NPI 1275067704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/11/2017 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery13421345-9925UTAHYes
21223S0112XDentistOral and Maxillofacial Surgery30.026872OHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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