DR. RANDALL SCOTT EDWARDS DDS NPI 1871751644

NPI Information

  • NPI: 1871751644
  • Provider Name: DR. RANDALL SCOTT EDWARDS, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 W VIRGINIA ST
    EVANSVILLE, IN
    ZIP 47710
  • Phone: (812) 425-5194

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NPI Details

DR. Randall Scott Edwards, DDS is an oral and maxillofacial surgery dentist in Evansville, IN with 17 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. DR. Randall Scott Edwards, DDS NPI is 1871751644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

550 W VIRGINIA ST
EVANSVILLE, IN
ZIP 47710-614
Phone: (812) 425-5194
Fax: (812) 426-9984

The NPI 1871751644 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), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 10/16/2009.

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 Surgery12011270AINDIANAYes

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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