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Contact Information

GRACE M. EDWARDS DMD, PA
16115 ST. VINCENT WAY
SUITE 110
LITTLE ROCK, AR72223-3001
 Phone: 501-817-3157
 Fax: 501-817-3160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for GRACE M. EDWARDS DMD, PA

NPI Number 1386872075
LBN Legal business name GRACE M. EDWARDS DMD, PA
Authorized official MARY EDWARDS - (OWNER/DENTIST/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2009
Last updated 03/22/2022 - About 4 years ago
Identifiers
AR License # 3579
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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