KEVIN RAY EDWARDS DDS LLC NPI 1821097122

NPI Information

  • NPI: 1821097122
  • Provider Name: KEVIN RAY EDWARDS, DDS LLC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • Address: 833 SW 11TH AVE
    SUITE 910
    PORTLAND, OR
    ZIP 97205
  • Phone: (503) 222-5580

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NPI Details

Kevin Ray Edwards, DDS LLC is an endodontics dentist in Portland, OR. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Kevin Ray Edwards, DDS LLC NPI is 1821097122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

833 SW 11TH AVE
SUITE 910
PORTLAND, OR
ZIP 97205-125
Phone: (503) 222-5580
Fax: (503) 224-4079

The enumeration date for this NPI number is 7/19/2005 and was last updated on 7/21/2022.

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
11223E0200XDentistEndodontics07877OREGONYes

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
11326008OTHERUNITED CONCORDIA

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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