FEDWARDS DENTAL PC NPI 1720866452

NPI Information

  • NPI: 1720866452
  • Provider Name: FEDWARDS DENTAL PC
  • Classification: Dentist - 1223D0001X
  • Specialization: Dental Public Health
  • Entity Type: Organization
  • Doing Business As: WEST BRIGHTON DENTAL ON AMBOY
  • Address: 2781 AMBOY RD
    STATEN ISLAND, NY
    ZIP 10306
  • Phone: (718) 273-1011

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NPI Details

FEDWARDS DENTAL PC is a dental public health dentist in Staten Island, NY. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. FEDWARDS DENTAL PC NPI is 1720866452. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As West Brighton Dental On Amboy.

The provider's business location address is:

2781 AMBOY RD
STATEN ISLAND, NY
ZIP 10306-157
Phone: (718) 273-1011
Fax: (718) 273-0308

The provider's authorized official is William F Edwards .
The authorized official title is Owner /dds and has the following contact phone number (718) 273-1101.

The enumeration date for this NPI number is 9/14/2023 and was last updated on 10/11/2024.

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
11223D0001XDentistDental Public HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11124289491OTHERNEW YORKNPI
202353313MEDICAIDNEW YORK
305296222MEDICAIDNEW YORK

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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