JEREMY EDWARDS DDS PLLC NPI 1730672510

NPI Information

  • NPI: 1730672510
  • Provider Name: JEREMY EDWARDS DDS PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: OKLAHOMA DENTAL IMPLANTS AND ORAL SURGERY
  • Address: 1004 MEDICAL PARK BLVD
    EDMOND, OK
    ZIP 73013
  • Phone: (405) 348-8184

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NPI Details

JEREMY EDWARDS DDS PLLC is an oral and maxillofacial surgery dentist in Edmond, OK. 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. JEREMY EDWARDS DDS PLLC NPI is 1730672510. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Oklahoma Dental Implants And Oral Surgery.

The provider's business location address is:

1004 MEDICAL PARK BLVD
EDMOND, OK
ZIP 73013-025
Phone: (405) 348-8184
Fax: (405) 348-5349

The provider's authorized official is Thao T. Vo .
The authorized official title is Credentialing Department and has the following contact phone number (405) 848-7974.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 6/17/2022.

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 Surgery6586OKLAHOMANo
21223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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