LARAMIE JO EDENS DMD NPI 1538901152

NPI Information

  • NPI: 1538901152
  • Provider Name: LARAMIE JO EDENS, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 115 CALLE PORTAL
    SIERRA VISTA, AZ
    ZIP 85635
  • Phone: (520) 459-3011

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NPI Details

Laramie Jo Edens, DMD is a general practice dentist in Sierra Vista, AZ with 2 years of experience. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Laramie Jo Edens, DMD NPI is 1538901152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduation Year:2024

The provider's business location address is:

115 CALLE PORTAL
SIERRA VISTA, AZ
ZIP 85635-950
Phone: (520) 459-3011
Fax: (520) 417-4481

The NPI 1538901152 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 6/12/2024 and was last updated on 6/12/2024.

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
11223G0001XDentistGeneral PracticeD012166ARIZONAYes

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: 11/21/2025

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