Veronica Ivette Edmondson, DDS
Individual provider Active NPI General Practice Dentistry · Winchester, CA
NPI 1134729262 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1134729262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 110557 (CA)
- Practice address
- 35952 Winchester Rd
Winchester, CA 92596-7537 - Phone
- (951) 325-6976
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110557 | CA | MD | General Practice Dentistry |
| 0401417231 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James W Willis II DDS PLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 110557 | CA | Yes |
| General Practice Dentistry | 1223G0001X | 0401417231 | VA |
Addresses
Primary practice location
35952 Winchester Rd
Winchester, CA 92596-7537
Mailing address
35952 Winchester Rd BLDG 2
Winchester, CA 92596-7537
Phone (720) 765-2823
Other practice location 1
2927 Stuarts Draft Hwy Ste 105
Stuarts Draft, VA 24477-2796
Phone (540) 414-8423
Other practice location 2
41 S Medical Park Dr # 100
Fishersville, VA 22939-2333
Phone (540) 885-8037
Other providers in Winchester, CA
- Aimee Rose Duarte
- Brooke Durnil
- James Dyas
- Joelle Dyas
- Eagle Crest Assisted Living Home, LLC
- Brianna Elizarraraz
- Michelle Kristina Ellison
- Kristen Essick
- David Samir Estaphnous
- Jordan Rebekah Fallentine
All providers in Winchester, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. 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.