Michael L Edgar DDS PC
Organization Active NPI Dentist · Park Hills, MO
NPI 1013073618 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013073618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 014114 (MO)
- Legal business name
- MICHAEL L EDGAR DDS PC
- Practice address
- 919 E Main St
Park Hills, MO 63601-2717 - Phone
- (573) 431-5566
- Fax
- (573) 431-3345
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael L Edgar, DDS
- Title
- President
- Phone
- (573) 431-5566
National Provider Directory
Locations
919 E Main St
Park Hills, MO 63601
Phone (573) 327-4067
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 014114 | MO | Yes |
Addresses
Primary practice location
919 E Main St
Park Hills, MO 63601-2717
Mailing address
919 E Main St
Park Hills, MO 63601-2717
Phone (573) 431-5566
Other providers in Park Hills, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.